go back

New Hampshire rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $5.98 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.98 / $7.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.85 / $9.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $12.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.91 / $5.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $6.91 / $8.78