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Utah rates for HCPCS 29055

Application Cast Shoulder Spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.48 / $191.48 / $290.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.68 / $209.07 / $715.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $231.57 / $383.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.99 / $208.79 / $259.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.09 / $509.20 / $742.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.27 / $312.91 / $509.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.79 / $223.92 / $360.76