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South Carolina rates for HCPCS 29105

Application Long Arm Splint Shoulder Hand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.25 / $289.24 / $502.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.46 / $78.22 / $143.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $69.22 / $139.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.91 / $261.57 / $439.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $64.94 / $110.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $85.15 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.41 / $93.66 / $150.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $99.34 / $158.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $79.12 / $79.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $111.83 / $172.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,134.00 / $2,922.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.42 / $91.42 / $189.06