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Delaware rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.03 / $761.51 / $890.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.15 / $672.15 / $672.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.39 / $739.49 / $1,446.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.03 / $734.72 / $1,873.22