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Application Of A Long Arm Splint

Wisconsin 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 $1,445 · 10th–90th $81$4,6770%5%10%10th90th$1,445Professionalmedian $155 · 10th–90th $55$4790%5%10th90th$155$20.0$100.0$500.0$2.0K

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
$81.28
Median
$245.47
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$177.83
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$165.96
Typical High
$371.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$3,162.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$120.23
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$269.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$173.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$154.88
Typical High
$323.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$1,698.24
Quartz
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$363.08
Typical High
$616.60
Security Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$263.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$263.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$478.63