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Utah rates for HCPCS 29058

Application Cast Plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.31 / $113.31 / $140.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $116.65 / $490.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $139.66 / $232.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $91.08 / $111.24
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
$124.03 / $183.25 / $289.60
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
$99.90 / $126.36 / $207.08