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Utah rates for HCPCS Q4019

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.13 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.09 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.42 / $4.03