go back

Wisconsin rates for HCPCS Q4020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.03 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $13.18 / $17.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.41 / $14.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.94 / $20.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.57 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.80 / $23.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $13.80 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $7.24