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New Hampshire rates for HCPCS Q4016

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.78 / $12.78 / $15.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $12.78 / $18.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $16.57 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $20.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $8.27 / $14.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $14.54 / $8,775.00