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Utah rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.04 / $83.04 / $83.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $98.49 / $438.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $123.62 / $135.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $106.39 / $106.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.47 / $64.45 / $107.42