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New Hampshire rates for HCPCS Q4022

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.26 / $22.26 / $26.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $17.50 / $26.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $21.28 / $34.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $15.20 / $15.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $17.80 / $17.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $12.37 / $18.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.57 / $12.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $13.32 / $3,375.00