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New Hampshire rates for HCPCS 29055

Application Cast Shoulder Spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.35 / $477.88 / $714.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $212.68 / $276.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.37 / $232.27 / $332.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.64 / $234.64 / $234.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $336.31 / $626.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.99 / $321.82 / $652.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.26 / $368.75 / $655.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.96 / $151.13 / $209.20