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Arkansas rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.65 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.51 / $811.71 / $1,057.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.79 / $1,411.79 / $1,694.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.69 / $993.56 / $1,193.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.00 / $1,085.53 / $1,374.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,431.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.08 / $851.35 / $1,600.40