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New Hampshire rates for HCPCS Q4012

Cast Supplies Short Arm Cast Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $13.60 / $16.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $13.59 / $17.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.19 / $28.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $12.19 / $12.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $9.93 / $15.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $6.08 / $7.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $10.53 / $15.21