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Ohio rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.25 / $11.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $11.22 / $12.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.24 / $8.71
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.68 / $6.03