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Utah rates for HCPCS Q4047

Cast Supplies Short Leg Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.68 / $20.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.44 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.05 / $5.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.06 / $4.97