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Utah rates for HCPCS Q4027

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $16.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.44 / $23.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.00 / $16.22