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Wisconsin rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Facilitymedian $76 · 10th–90th $74$1230%20%40%10th90th$76Professionalmedian $56 · 10th–90th $35$1070%10%10th90th$56$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $229.09 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $107.15 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $61.66 / $107.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $74.13 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $97.72 / $186.21
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $204.17
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $91.20 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $60.26