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Utah rates for HCPCS Q4030

Cast supplies, long leg cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $77.62 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $67.61
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $97.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $97.72 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $64.57