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Missouri rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.28 / $186.76 / $537.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $83.69 / $370.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.73 / $59.73 / $118.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $72.54 / $100.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.98 / $92.40 / $164.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.40 / $88.57 / $254.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $123.80 / $621.67
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $104.59 / $170.32