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Short Arm Splint Supplies, Adult, Plaster

New Hampshire rates for HCPCS Q4021

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $6$130%50%10th90th$10Professionalmedian $7 · 10th–90th $5$130%20%40%10th90th$7$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
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$10.47
Typical High
$16.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.76
Typical High
$7.41
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$7.94