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Florida 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
$578.79 / $2,815.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.58 / $748.52 / $1,025.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $610.66 / $726.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.83 / $945.41 / $1,455.14
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.58 / $558.67 / $889.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $579.92 / $1,062.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,611.00 / $6,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.55 / $798.85 / $1,431.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.55 / $626.42 / $626.42