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Wisconsin rates for HCPCS Q4016

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $9.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.63 / $14.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $27.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $16.57 / $18.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $35.47 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.15 / $51.60 / $68.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $23.91 / $31.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $13.67 / $16.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $13.90 / $16.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $13.67 / $17.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.38 / $46.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $13.67 / $16.70
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $13.90 / $16.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $24.87 / $44.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.38 / $33.65 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $72.86 / $167.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.27 / $13.79