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Utah rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $234.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $467.74 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $223.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $173.78