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Wisconsin rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Facilitymedian $44 · 10th–90th $43$720%20%40%10th90th$44Professionalmedian $35 · 10th–90th $20$790%10%10th90th$35$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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $61.66 / $83.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $35.48 / $61.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $151.36 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $42.66 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $416.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $117.49
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $53.70 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $57.54 / $112.20