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North Carolina rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $13.30 / $14.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $15.20 / $35.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.90 / $26.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $26.96 / $28.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $11.40 / $12.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $17.37 / $38.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $26.00 / $29.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $16.73 / $26.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.51 / $12.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.99 / $85.00 / $126.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $305.02 / $305.02