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Iowa 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
$1,148.15 / $2,511.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,862.09 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $1,905.46