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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
$7.05 / $7.05 / $7.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.33 / $16.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.17 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.37 / $6.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.86 / $6.43