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Utah rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $19.93 / $19.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $27.62 / $97.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $60.00 / $70.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $29.85 / $29.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $18.07 / $21.74