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New Hampshire rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $83.18 / $131.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $154.88