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New Hampshire rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Facilitymedian $52 · 10th–90th $49–$590%20%40%10th90th$52Professionalmedian $65 · 10th–90th $37–$810%20%40%10th90th$65$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $60.26 / $64.57
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $67.61