go back

South Dakota rates for HCPCS 29125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.38 / $251.76 / $362.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $68.38 / $182.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.25 / $115.89 / $200.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.65 / $93.46 / $160.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.97 / $146.19 / $503.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.39 / $122.02 / $169.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $108.09 / $169.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.32 / $80.55 / $134.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $119.36 / $178.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $96.60 / $163.30