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Wisconsin rates for HCPCS Q4035

Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $24.55 / $32.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.88 / $24.55
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $13.80 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.32 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.70 / $46.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $25.70 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.32 / $13.49