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Utah rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Facilitymedian $3 · 10th–90th $3–$30%50%100%$3Professionalmedian $4 · 10th–90th $3–$150%20%10th90th$4$2.0$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.13 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.07 / $4.07
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.75 / $5.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.75 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.40 / $4.07