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Utah rates for HCPCS Q4023

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.80 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.02 / $3.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $4.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.27 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.78 / $2.88