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West Virginia rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.34 / $6.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $11.37 / $14.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $10.10 / $19.53
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 / $40.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.55 / $8.78