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Georgia 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
$902.93 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.17 / $831.06 / $1,590.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,634.62 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.16 / $929.84 / $1,796.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.60 / $999.60 / $999.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $842.86 / $1,151.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.79 / $1,104.06 / $1,862.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.74 / $991.74 / $2,048.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $3,100.00 / $5,352.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.08 / $994.11 / $1,861.25