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New Hampshire rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $208.93 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $91.20 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $114.82 / $229.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $109.65 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $102.33 / $213.80
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $102.33