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South Carolina rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.73 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $9.00 / $15.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $11.44 / $20.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $13.36 / $13.36
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
$2.80 / $4.05 / $5.20