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Wisconsin rates for HCPCS Q4044

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $12.40 / $12.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $12.40 / $45.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $35.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $21.35 / $24.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $45.69 / $45.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $67.39 / $89.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $30.94 / $40.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $17.57 / $21.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $21.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $17.57 / $22.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $12.06 / $91.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $17.57 / $21.35
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $17.37 / $21.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $32.03 / $56.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.70 / $43.34 / $99.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $93.83 / $210.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $21.35 / $29.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $10.64 / $19.75