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South Carolina rates for HCPCS Q4023

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.39 / $3.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $5.00 / $8.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $4.96 / $4.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.86 / $11.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
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
$1.41 / $2.02 / $2.45