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California rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.41 / $474.00 / $1,540.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $89.53 / $380.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.45 / $145.63 / $148.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $78.38 / $161.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $90.26 / $166.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $102.28 / $183.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $90.43 / $162.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.77 / $66.27 / $125.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $87.78 / $160.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $192.96 / $198.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.38 / $611.20 / $726.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.27 / $78.81 / $130.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.39 / $94.10 / $180.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $134.22 / $266.45
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $86.15 / $119.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,501.00 / $6,920.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.68 / $84.44 / $183.18