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Utah rates for HCPCS Q4020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.12 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.46 / $6.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $9.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.33 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $6.31