go back

Utah rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $6.39 / $28.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.77 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $6.90 / $6.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $4.18 / $6.96