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Delaware 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
$3,235.94 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,148.15