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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
$57.54 / $186.21 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $117.49 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $51.29 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $93.33 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $91.20 / $162.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $91.20 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $123.03 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $691.83 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $77.62 / $128.82