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Ohio rates for HCPCS Q4021

Cast Supplies Short Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $10.16 / $17.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.53 / $7.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $6.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.51 / $10.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $8.42 / $12.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $10.95 / $18.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $9.86
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.75 / $3.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.20 / $5.34