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Montana rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.65 / $193.30 / $373.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $79.40 / $370.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.73 / $72.30 / $133.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.73 / $65.73 / $65.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $92.94 / $147.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.26 / $66.42 / $116.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.91 / $99.65 / $158.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.30 / $104.30 / $104.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $133.97 / $147.85