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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
$102.34 / $223.80 / $274.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $72.25 / $112.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $59.81 / $79.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.38 / $89.47 / $164.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.53 / $105.94 / $170.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.61 / $207.25 / $341.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $75.59 / $134.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.29 / $115.43 / $170.03