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Wisconsin rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $8.82 / $8.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $13.95 / $43.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $15.20 / $25.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $15.20 / $17.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $22.80 / $32.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $18.23 / $35.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $47.39 / $62.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $22.03 / $28.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $12.72 / $32.74
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $24.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $12.72 / $32.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.58 / $25.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $12.72 / $32.74
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $24.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $22.80 / $39.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $34.27 / $126.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $66.78 / $293.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $15.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.57 / $14.16