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Wisconsin rates for HCPCS 29720

Repair Spica Body Cast/Jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.58 / $84.44 / $328.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $84.44 / $226.99
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
$52.68 / $95.97 / $254.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.86 / $157.86 / $157.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.29 / $273.79 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $174.56 / $400.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.08 / $84.44 / $175.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.93 / $90.13 / $1,449.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.80 / $197.24 / $648.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $101.24 / $235.87
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.08 / $84.44 / $175.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.44 / $170.83 / $304.66
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.95 / $124.95 / $202.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $340.74 / $648.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.40 / $136.40 / $271.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.04 / $270.69 / $561.10
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
$85.89 / $164.50 / $356.41