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Wisconsin rates for HCPCS 29305

Application Hip Spica Cast 1 Leg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $325.70 / $1,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.41 / $244.49 / $824.54
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
$193.08 / $351.73 / $930.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.36 / $334.36 / $334.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.74 / $790.83 / $1,213.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.33 / $608.01 / $1,093.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $246.89 / $518.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.61 / $300.50 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $570.60 / $1,877.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $258.38 / $551.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.41 / $246.89 / $518.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.67 / $571.77 / $881.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.86 / $292.86 / $742.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.14 / $1,074.15 / $1,877.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.22 / $499.22 / $788.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.38 / $997.56 / $1,623.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,370.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $463.60 / $1,054.69