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Connecticut rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.48 / $4,305.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.48 / $856.91 / $1,920.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.19 / $1,258.26 / $1,755.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,678.59 / $1,678.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.92 / $1,276.53 / $2,055.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.69 / $1,027.54 / $1,427.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.77 / $1,567.37 / $2,488.32