go back

South Carolina rates for HCPCS Q4030

Cast Supplies Long Leg Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $75.97 / $83.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $48.40 / $48.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.02 / $99.77 / $172.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.35 / $111.35 / $111.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $90.18 / $165.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.69 / $81.69 / $81.69
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
$31.60 / $46.98 / $58.78