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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
$63.69 / $63.69 / $76.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.69 / $70.03 / $105.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.25 / $151.99 / $151.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.12 / $178.12 / $178.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $123.94 / $187.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $75.83 / $123.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.88 / $106.57 / $135.63