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Utah rates for HCPCS Q4036

Cast Supplies Long Leg Cylinder Cast Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $27.14 / $97.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $17.09 / $17.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $47.87 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.29 / $29.32 / $29.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $17.77 / $23.03