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Utah rates for HCPCS Q4028

Cast Supplies Hip Spica (One Or Both Legs) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.97 / $30.97 / $30.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $47.77 / $212.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.96 / $60.00 / $65.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $51.61 / $51.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $31.27 / $52.11