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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
$67.93 / $162.25 / $434.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $77.02 / $129.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $69.33 / $107.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.55 / $119.73 / $231.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $105.27 / $236.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $123.80 / $247.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $63.21 / $91.17