go back

Utah rates for HCPCS Q4001

Casting supplies, body cast adult, with or without head, plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.02 / $72.02 / $72.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $72.02 / $176.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.73 / $54.36 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $42.80 / $42.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $25.93 / $42.01