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Utah rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $338.84 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $117.49 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $87.10 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $123.03 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $100.00 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $120.23 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $117.49