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New Hampshire rates for HCPCS Q4026

Cast Supplies Hip Spica (One Or Both Legs) Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.74 / $98.74 / $118.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $98.74 / $118.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.44 / $147.37 / $147.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.70 / $172.70 / $172.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $120.17 / $182.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $73.52 / $117.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.94 / $103.33 / $131.52