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Utah rates for HCPCS Q4026

Cast Supplies Hip Spica (One Or Both Legs) Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.78 / $61.78 / $61.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $95.49 / $425.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $119.85 / $131.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.95 / $103.16 / $103.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $62.49 / $101.30