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Utah rates for HCPCS Q4014

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $15.94 / $15.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $24.05 / $95.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.01 / $37.93 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $23.23 / $23.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $14.06 / $22.81