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South 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
$13.26 / $13.26 / $13.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $13.26 / $25.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $18.00 / $31.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $18.69 / $30.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
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
$5.52 / $7.93 / $10.26