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Indiana rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.55 / $210.55 / $594.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $73.95 / $121.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.58 / $77.12 / $114.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $4,097.10 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.09 / $73.27 / $105.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $48.15 / $77.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $91.68 / $114.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.80 / $69.80 / $82.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $86.30 / $151.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.00 / $2,291.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $89.13 / $157.44