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Utah rates for HCPCS Q4022

Cast Supplies Short Arm Splint Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $13.95 / $145.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $18.50 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $15.33 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.64 / $10.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.44 / $10.73