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Ohio rates for HCPCS Q4026

Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.55 / $93.55 / $279.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $93.55 / $116.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $79.01 / $191.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.76 / $147.37 / $218.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.11 / $191.58 / $315.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.70 / $172.70 / $172.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.18 / $48.11 / $61.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $72.86 / $93.55