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New Hampshire rates for HCPCS Q4002

Cast Supplies Body Cast Adult With Or Without Head Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $140.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $117.49 / $163.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.38 / $231.02 / $231.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.73 / $270.73 / $270.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $188.38 / $285.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.84 / $115.25 / $184.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.26 / $161.99 / $206.16