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New Hampshire rates for HCPCS Q4017

Cast supplies, long arm splint, adult (11 years +), plaster

Facilitymedian $10 · 10th–90th $8–$130%20%40%10th90th$10Professionalmedian $10 · 10th–90th $6–$150%20%10th90th$10$5.0$10.0$20.0$50.0

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
$10.47 / $10.47 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.32 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.33 / $10.00
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $10.47