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Wisconsin rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.35 / $11.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $9.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.69 / $6.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $12.18 / $12.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $17.89 / $23.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $8.44 / $10.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $4.70 / $5.96
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.70 / $6.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.22 / $19.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $4.70 / $5.96
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.53 / $15.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $11.55 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $25.02 / $68.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.84 / $5.45