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West Virginia rates for HCPCS 29105

Application of long arm splint (shoulder to hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $380.19 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $79.43 / $162.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $52.48 / $74.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $123.03 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $91.20 / $457.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $467.74 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $70.79 / $128.82