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Ohio rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $27.07 / $83.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $27.07 / $34.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $22.92 / $55.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $42.64 / $63.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $55.43 / $91.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.97 / $49.97 / $49.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $13.92 / $17.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $21.08 / $27.07