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New Hampshire rates for HCPCS Q4021

Cast Supplies Short 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
$3.88 / $7.57 / $12.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.48 / $4.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $8.42 / $8.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $10.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.20 / $6.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $7.77 / $15.01