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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
$13.49 / $13.49 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.76 / $10.72
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $12.88