go back

Alabama rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,137.63 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.58 / $749.81 / $1,363.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.86 / $3,106.51 / $4,179.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.46 / $820.65 / $1,045.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.51 / $838.12 / $2,282.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,825.00 / $3,372.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.49 / $766.22 / $1,321.53