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North Carolina rates for HCPCS Q4042

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

Facilitymedian $43 · 10th–90th $28–$950%20%10th90th$43Professionalmedian $32 · 10th–90th $20–$400%20%10th90th$32$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $75.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $41.69 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $30.90
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $436.52