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Ohio 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
$10.52 / $10.52 / $36.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.52 / $13.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.89 / $21.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $16.57 / $24.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $21.55 / $35.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.42 / $6.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $7.93 / $10.52