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Washington, DC 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
$933.25 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,819.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,698.24 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,995.26