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Nebraska rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.03 / $198.61 / $337.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $87.35 / $270.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $63.09 / $72.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.75 / $546.83 / $1,057.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $80.62 / $157.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $78.12 / $78.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.33 / $143.93 / $235.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.58 / $129.19 / $272.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.07 / $166.35 / $329.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.93 / $124.51 / $224.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.97 / $147.79 / $218.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.47 / $88.00 / $167.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.00 / $1,527.00 / $4,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.07 / $162.19 / $211.23