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Utah rates for HCPCS Q4017

Cast Supplies Long Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $9.75 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $10.11 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $7.96 / $7.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.82 / $5.80