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Wisconsin rates for HCPCS Q4043

Cast Supplies Long Leg Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $7.25 / $10.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $12.49 / $20.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $12.49 / $14.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $26.73 / $26.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $38.96 / $51.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $18.28 / $23.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $10.15 / $12.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $12.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $10.30 / $13.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.06 / $27.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.17 / $10.30 / $12.49
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $12.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $18.73 / $33.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.40 / $25.35 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $54.90 / $98.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $13.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.23 / $10.39