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New Hampshire rates for HCPCS Q4051

Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $20.00 / $46.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $3,440.00 / $8,775.00