go back

Utah rates for HCPCS 29126

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $79.43 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $91.20 / $154.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $114.82 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $70.79 / $112.20