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Utah rates for HCPCS Q4013

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $11.81 / $56.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $19.02 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $13.78 / $13.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $8.35 / $10.82