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Vermont rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $398.11 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $93.33 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $426.58 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $100.00 / $154.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $190.55