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Utah rates for HCPCS Q4040

Cast supplies, short leg cast, pediatric (0-10 years), fiberglass

Facilitymedian $17 · 10th–90th $17–$170%50%100%$17Professionalmedian $25 · 10th–90th $16–$630%10%10th90th$25$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $18.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $26.30
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $18.62