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Montana 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
$369.54 / $399.00 / $482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $71.95 / $155.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.08 / $91.38 / $144.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.08 / $83.08 / $83.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $83.08 / $143.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.59 / $73.16 / $101.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $105.00 / $165.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $137.38 / $173.96