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Wisconsin rates for HCPCS Q4040

Cast Supplies Short Leg Cast Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.93 / $14.93 / $14.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $17.48 / $62.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $25.72 / $42.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $25.72 / $29.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $55.04 / $55.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.39 / $81.08 / $107.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $37.50 / $48.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.76 / $21.20 / $27.01
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $30.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.93 / $21.20 / $37.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $14.54 / $32.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.76 / $21.20 / $27.01
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $30.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $38.58 / $68.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.24 / $52.21 / $158.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $113.04 / $365.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $25.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $51.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $12.83 / $23.97