go back

New Hampshire rates for HCPCS Q4020

Cast supplies, long arm splint, pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $11.13 / $13.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $8.10 / $13.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $9.10 / $9.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $10.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $11.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.54 / $5.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $7.85 / $11.34