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Utah rates for HCPCS 29105

Application Long Arm Splint Shoulder Hand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.50 / $336.84 / $398.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.50 / $116.50 / $401.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $92.55 / $134.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $90.31 / $110.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.72 / $298.76 / $435.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.02 / $122.81 / $203.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $85.47 / $136.29