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Idaho rates for HCPCS 29105

Application Long Arm Splint Shoulder Hand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $196.35 / $362.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.50 / $91.63 / $206.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.52 / $62.52 / $62.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $91.60 / $141.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.06 / $102.61 / $186.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $137.16 / $166.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $117.10 / $152.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.05 / $391.60 / $486.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $97.60 / $172.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $124.74 / $176.72