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South Carolina rates for HCPCS Q4019

Cast Supplies Long Arm Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $4.55 / $4.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $6.00 / $10.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $6.89 / $12.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
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
$1.90 / $2.74 / $3.52