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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
$190.82 / $406.70 / $585.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.88 / $79.04 / $101.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $49.03 / $61.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $116.51 / $180.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $92.15 / $194.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.21 / $413.09 / $942.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.73 / $63.73 / $135.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $97.03 / $131.58