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West Virginia rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $23.52 / $23.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $26.13 / $28.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.64 / $57.56 / $74.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $51.17 / $98.87
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 / $205.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.27 / $42.64