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Maine rates for HCPCS 29126

Application Short Arm Splint Dynamic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $67.59 / $97.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.80 / $65.34 / $95.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.80 / $96.08 / $157.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $100.99 / $169.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $67.59 / $134.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $100.98 / $161.96