go back

Montana rates for HCPCS 29515

Application of short leg splint (calf to foot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.10 / $340.80 / $390.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $66.84 / $308.70
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
$78.87 / $78.87 / $116.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.87 / $78.87 / $78.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $78.87 / $119.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.26 / $60.38 / $96.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $90.72 / $138.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.47 / $114.57 / $132.66