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Utah rates for HCPCS Q4002

Cast supplies, body cast adult, with or without head, fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $165.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $229.09 / $234.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $234.42 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $97.72 / $158.49