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Utah 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
$75.86 / $338.84 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $194.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $154.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $120.23