go back

Montana rates for HCPCS 29125

Application of short arm splint (forearm to hand); static

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.38 / $236.00 / $324.68
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$327.86 / $327.86 / $442.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.45 / $64.54 / $293.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.15 / $64.15 / $107.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.15 / $64.15 / $64.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.83 / $65.18 / $107.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.78 / $55.99 / $89.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $81.80 / $125.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.20 / $103.73 / $120.11