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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
$3.22 / $3.22 / $3.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.22 / $7.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.79 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.96 / $2.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.79 / $2.91