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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
$153.19 / $153.19 / $153.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.80 / $153.19 / $666.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $187.90 / $205.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.47 / $161.71 / $161.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $97.97 / $163.28