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North Carolina rates for HCPCS Q4016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $13.26 / $23.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $29.42 / $31.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $12.44 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $17.02 / $30.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.02 / $28.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $18.26 / $28.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $7.98 / $12.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $85.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.35 / $174.56 / $174.56