CPT 29126: Dynamic (Hinged) Splint, Forearm to Palm
Medicare pays $89 and commercial payers pay $157 on average nationally for this procedure.
CPT code 29126 describes application of a dynamic (hinged) splint extending from the elbow to the palm to stretch a stiff joint and improve range of motion after surgery or injury; service type: splint application / orthotic management; typical site of service: ambulatory clinic, orthopaedic clinic, or hospital outpatient setting where postoperative or post-injury rehabilitation and mechanical joint stretching are provided.
For related coverage guidance, see recent payer policy updates: Medical Necessity Guidelines Non-Emergency Transportation, Non-Emergent Transportation Medical Policy, Non-Emergency Facility to Facility Transfers.
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National Reimbursement Benchmarks
Across national payers, Medicare’s mean of $88.6 sits well below BUCA’s average commercial mean of $156.6, indicating that commercial reimbursements are materially higher than the Medicare baseline for CPT 29126. Blue Cross Blue Shield and BUCA show substantially higher central tendencies than Medicare, while Aetna, Cigna, and UnitedHealth Group cluster closer to Medicare’s level but still typically exceed it on average.
Dispersion (P75–P25) highlights where rates are most and least variable: Blue Cross Blue Shield has the widest interquartile spread at $126.2 ($248.4–$162.0), followed by UnitedHealth Group at $72. - computed as $145.5–$73.8), and BUCA’s IQR is $74.4 ($191.1–$116.7). Aetna and Cigna are the tightest, with Aetna’s IQR of $48.0 ($72.0–$24.0) and Cigna’s IQR of $55.8 ($126.2–$71.4).