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Utah rates for HCPCS Q4046

Cast Supplies Short Leg Splint Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $193.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $17.07 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $9.51 / $9.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $20.76 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $16.32 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.88 / $16.03