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Utah rates for HCPCS Q4012

Cast Supplies Short Arm Cast Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $8.43 / $8.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $12.43 / $34.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $30.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.52 / $8.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.17 / $8.61