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Wisconsin rates for HCPCS 29055

Application Cast Shoulder Spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.34 / $220.73 / $860.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.34 / $220.73 / $715.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.64 / $305.39 / $808.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.36 / $334.36 / $334.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.76 / $716.06 / $1,098.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.27 / $544.45 / $977.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.34 / $220.73 / $467.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.41 / $274.39 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.04 / $478.30 / $1,697.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $236.55 / $551.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.93 / $220.73 / $467.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.62 / $500.11 / $798.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.86 / $292.86 / $645.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.32 / $971.64 / $1,697.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.45 / $433.45 / $710.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.54 / $866.44 / $1,468.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.57 / $381.62 / $927.94