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Ohio rates for HCPCS Q4042

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

Facilitymedian $27 · 10th–90th $27–$490%50%90th$27Professionalmedian $26 · 10th–90th $17–$410%10%10th90th$26$0.5$2.0$10.0$50.0$200.0

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
$26.92 / $26.92 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.13 / $32.36
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $29.51