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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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.30 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.71 / $8.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.30 / $12.30
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.30 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.13 / $8.32