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Alaska rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.30 / $344.96 / $777.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $173.90 / $397.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.16 / $178.40 / $359.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $232.71 / $545.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.68 / $218.75 / $496.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.75 / $331.50 / $504.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $232.71 / $545.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $317.50 / $491.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $408.36 / $475.95