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New Hampshire rates for HCPCS Q4017

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $10.51 / $12.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $10.51 / $12.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.37 / $11.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.32 / $13.32 / $13.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $9.27 / $14.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.67 / $6.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $9.98 / $8,775.00