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Utah rates for HCPCS Q4043

Cast supplies, long leg splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.91 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.59 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.91 / $8.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.59 / $12.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.25 / $8.51