go back

Utah rates for HCPCS Q4041

Cast Supplies Long Leg Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $14.25 / $33.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $22.21 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $17.48 / $17.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $10.59 / $17.64