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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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $30.20 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $42.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.78 / $28.84