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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 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $204.17
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $234.42