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New Hampshire rates for HCPCS Q4042

Cast Supplies Long Leg Splint Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.95 / $31.95 / $38.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $31.95 / $38.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $42.64 / $42.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.97 / $49.97 / $49.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $34.76 / $52.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $21.27 / $25.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.18 / $29.90 / $38.04