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Connecticut 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
$1,412.54 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $2,238.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,495.41 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,071.52 / $2,137.96