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Utah rates for HCPCS Q4016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $7.97 / $7.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.46 / $47.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $18.98 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.03 / $11.72