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Maryland rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.47 / $182.76 / $514.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.88 / $83.42 / $300.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $35.57 / $51.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.17 / $49.17 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $88.13 / $164.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.31 / $115.21 / $152.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $38.90 / $77.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.89 / $90.28 / $175.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.15 / $102.71 / $126.20