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South 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
$34.09 / $34.09 / $34.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $34.09 / $42.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $44.77 / $77.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.97 / $49.97 / $49.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $46.74 / $78.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $43.20 / $43.20
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
$14.18 / $20.32 / $24.62