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Wisconsin rates for HCPCS 29126

Application Short Arm Splint Dynamic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $76.97 / $225.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.03 / $111.17 / $281.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.91 / $171.34 / $322.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $169.57 / $591.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $100.64 / $224.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.17 / $178.53 / $275.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.91 / $339.03 / $591.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.48 / $315.37 / $512.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.27 / $147.13 / $336.15