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South Carolina rates for HCPCS Q4041

Cast Supplies Long Leg Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $19.97 / $21.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $26.23 / $45.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.27 / $29.27 / $29.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.62 / $23.77 / $43.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
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
$8.31 / $11.90 / $14.42