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Wisconsin rates for HCPCS Q4038

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.87 / $29.87 / $29.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $40.20 / $120.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $51.45 / $84.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $51.45 / $58.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $77.18 / $110.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.02 / $61.74 / $119.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.87 / $161.11 / $214.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $74.53 / $97.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.87 / $43.09 / $98.23
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $60.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.87 / $43.09 / $98.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.74 / $28.30 / $65.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.87 / $43.09 / $98.23
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $60.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $77.18 / $135.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.48 / $104.44 / $317.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $226.08 / $731.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $51.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $51.45 / $102.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $25.66 / $49.19