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New Hampshire rates for HCPCS Q4028

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $59.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $49.47 / $59.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.76 / $73.73 / $73.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $60.14 / $91.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $36.79 / $63.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $51.69 / $65.79