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Wisconsin rates for HCPCS Q4011

Cast Supplies Short Arm Cast Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.23 / $4.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $8.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.39 / $6.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.42 / $16.85 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $7.97 / $10.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.44 / $5.66
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $6.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $4.44 / $8.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.05 / $23.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $4.44 / $5.66
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $6.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $8.09 / $14.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $10.94 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $23.67 / $83.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.69 / $4.48