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Utah rates for HCPCS Q4039

Cast Supplies Short Leg Cast Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.13 / $29.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $10.36 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.20 / $7.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.37 / $7.28