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Wisconsin rates for HCPCS Q4030

Cast Supplies Long Leg Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.17 / $55.17 / $55.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $55.17 / $72.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.02 / $95.02 / $156.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.37 / $95.02 / $108.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.02 / $203.34 / $203.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.02 / $298.01 / $396.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $137.81 / $179.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.36 / $78.30 / $159.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $52.91 / $95.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.51 / $78.30 / $178.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $52.25 / $120.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.50 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.36 / $78.30 / $159.30
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $52.91 / $95.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.02 / $142.53 / $250.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.58 / $192.89 / $444.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $417.56 / $637.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.02 / $95.02 / $95.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $95.02 / $95.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.94 / $47.40 / $88.54