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West Virginia rates for HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $67.68 / $74.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $20.21 / $22.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $44.79 / $58.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $39.82 / $76.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $159.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $59.45 / $63.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $17.93 / $33.18