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New Hampshire rates for HCPCS Q4014

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.56 / $25.56 / $30.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $25.56 / $33.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.33 / $33.18 / $33.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $27.04 / $41.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $16.55 / $26.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $29.09 / $8,775.00