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North Carolina rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $37.33 / $37.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $37.33 / $52.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.24 / $75.64 / $79.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $31.98 / $34.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $43.20 / $91.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.39 / $42.39 / $73.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $46.97 / $72.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $20.51 / $33.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $86.56 / $202.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.80 / $435.49 / $435.49