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Wisconsin rates for HCPCS Q4003

Cast Supplies Shoulder Cast Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.49 / $25.49 / $25.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $26.34 / $43.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.90 / $43.90 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $43.90 / $50.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.90 / $93.95 / $93.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.05 / $137.94 / $183.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $63.75 / $83.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $36.17 / $43.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $43.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $36.17 / $46.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $24.82 / $110.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $36.17 / $43.90
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $43.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $65.84 / $115.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.74 / $89.12 / $205.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $192.92 / $394.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $43.90 / $43.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $43.90 / $43.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $23.37 / $41.98