go back

Maine rates for HCPCS 29505

Application of long leg splint (thigh to ankle or toes)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.81 / $218.35 / $295.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $66.79 / $107.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.29 / $71.58 / $101.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.80 / $101.93 / $181.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.36 / $116.65 / $187.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $228.70 / $391.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $80.33 / $155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $109.34 / $185.52