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New Mexico rates for HCPCS Q4021

Cast Supplies Short Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.12 / $6.12 / $6.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $6.58 / $8.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.72 / $6.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $10.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $13.72 / $13.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $14.61 / $28.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $12.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.82 / $6.07