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South Carolina 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
$7.88 / $7.88 / $7.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.88 / $8.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.00 / $19.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $9.38 / $17.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.71 / $5.68