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Wisconsin rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Facilitymedian $10 · 10th–90th $10$170%50%10th90th$10Professionalmedian $7 · 10th–90th $4$150%20%10th90th$7$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $14.13 / $19.05
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $14.45
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.77 / $12.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.77 / $22.39
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.18 / $24.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $26.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $12.30 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.90 / $7.94