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Michigan rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $162.18 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $97.72 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $75.86 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $138.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $58.88 / $89.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $79.43 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $162.18 / $436.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $100.00 / $181.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $70.79 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $794.33 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $81.28 / $112.20