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Louisiana rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.11 / $120.93 / $630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $77.02 / $139.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.29 / $155.29 / $155.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.52 / $302.58 / $492.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $93.98 / $136.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $101.29 / $101.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.73 / $90.31 / $143.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.00 / $669.00 / $1,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $93.68 / $157.68