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Maine rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $199.53 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $100.00 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $60.26 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $100.00 / $165.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $120.23 / $194.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $199.53 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $97.72 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $83.18 / $158.49