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South Carolina 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
$117.83 / $117.83 / $117.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.97 / $117.83 / $129.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $154.74 / $267.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.70 / $172.70 / $172.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.83 / $144.88 / $268.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.75 / $148.75 / $148.75
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
$49.01 / $67.98 / $81.04