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Wisconsin rates for HCPCS Q4047

Cast supplies, short leg splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.19 / $6.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $7.22 / $11.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $7.22 / $8.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $15.45 / $15.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $23.17 / $30.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $10.31 / $13.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.95 / $7.22
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $7.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $5.95 / $7.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $4.08 / $17.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.95 / $7.22
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $7.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $10.83 / $18.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $14.66 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $31.73 / $63.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $6.90