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Wisconsin rates for HCPCS Q4027

Cast Supplies Hip Spica (One Or Both Legs) Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $13.71 / $13.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $14.17 / $17.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $38.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $23.61 / $26.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $50.53 / $50.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.08 / $73.70 / $97.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $34.22 / $44.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $19.46 / $24.68
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $19.46 / $30.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $13.35 / $85.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $19.46 / $24.68
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $25.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $35.42 / $62.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.12 / $47.93 / $132.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $103.77 / $305.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $11.78 / $21.87