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Wisconsin rates for HCPCS Q4025

Cast Supplies Hip Spica (One Or Both Legs) Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.39 / $27.39 / $27.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $28.31 / $35.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.18 / $47.18 / $77.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $47.18 / $53.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.18 / $100.97 / $100.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.06 / $148.47 / $197.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $68.44 / $89.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $38.88 / $49.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $47.18 / $50.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.39 / $38.88 / $60.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $26.68 / $171.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $38.88 / $49.30
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $47.18 / $50.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $70.77 / $124.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.14 / $95.78 / $263.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $207.32 / $609.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $47.18 / $47.18
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $47.18 / $47.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $23.54 / $43.70