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New Hampshire rates for HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

Facilitymedian $26 · 10th–90th $25–$310%20%40%10th90th$26Professionalmedian $29 · 10th–90th $17–$560%20%10th90th$29$10.0$20.0$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
$25.70 / $25.70 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $26.92 / $28.84
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $24.55 / $30.20