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Utah rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Facilitymedian $13 · 10th–90th $13–$1450%50%90th$13Professionalmedian $19 · 10th–90th $9–$380%10%10th90th$19$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.50 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $10.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $15.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $15.49 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.46 / $10.96