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Wisconsin rates for HCPCS Q4045

Cast Supplies Short Leg Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $8.42 / $27.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $14.50 / $23.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.50 / $16.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $31.03 / $31.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $45.28 / $60.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $21.09 / $27.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.95 / $31.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.69 / $14.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.95 / $31.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $8.19 / $35.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.95 / $31.75
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.69 / $14.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $21.75 / $38.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.32 / $29.44 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $63.72 / $127.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.50 / $14.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.50 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $7.24 / $13.51