go back

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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $18.20 / $23.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.00 / $18.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.59 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $10.23 / $25.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.17 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $34.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $19.05 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.17 / $10.00