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New Hampshire rates for HCPCS Q4013

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $11.96 / $14.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $11.96 / $15.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $19.68 / $19.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.06 / $23.06 / $23.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $16.04 / $24.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $9.82 / $15.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $13.79 / $17.55