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New Hampshire rates for HCPCS Q4001

Casting Supplies Body Cast Adult With Or Without Head Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.24 / $55.24 / $66.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $55.24 / $66.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.39 / $61.14 / $61.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $71.65 / $71.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $24.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $49.86 / $75.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $30.50 / $49.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $42.88 / $54.57