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Alabama rates for HCPCS 21110

Application of interdental fixation device for conditions other than fracture or dislocation, includes removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,162.28 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,258.93