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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
$263.03 / $524.81 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $288.40 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $204.17 / $446.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $323.59 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $114.82 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $223.87 / $407.38