go back

New Hampshire rates for HCPCS 29125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.78 / $119.54 / $421.20
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$276.26 / $276.26 / $276.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $62.19 / $118.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $162.88 / $225.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $66.28 / $96.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$59.68 / $99.43 / $145.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.02 / $68.02 / $68.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.11 / $99.51 / $183.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $93.58 / $191.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.19 / $101.25 / $176.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $51.12 / $72.23