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Utah rates for HCPCS Q4017

Cast supplies, long arm splint, adult (11 years +), plaster

Facilitymedian $6 · 10th–90th $6–$60%50%100%$6Professionalmedian $8 · 10th–90th $6–$260%10%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $8.13
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $11.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.48 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $8.13