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Application Of A Long Arm Splint

Utah rates for HCPCS 29105

This service applies a rigid, non-adjustable splint extending from the shoulder area down to the hand, used to immobilize and support an injured upper arm, elbow, or forearm while it heals. Unlike a cast, a splint can typically be removed for cleaning, swelling checks, or adjustment, while still providing firm support. It's often used for a fracture, dislocation, or after certain procedures where full permanent immobilization by a cast isn't yet appropriate.

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $117$4170%20%40%10th90th$363Professionalmedian $123 · 10th–90th $60$3980%5%10th90th$123$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$363.08
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$134.90
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$467.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$109.65
Typical High
$177.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$151.36
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$114.82
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$123.03