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Idaho rates for HCPCS 21110

Application of interdental fixation device for conditions other than fracture or dislocation, includes removal

Facilitymedian $1,445 · 10th–90th $676$5,4950%5%10%10th90th$1,445Professionalmedian $1,175 · 10th–90th $741$1,7780%10%10th90th$1,175$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,137.96 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,737.80 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,412.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,096.48 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,445.44 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,467.37 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,445.44 / $1,819.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,230.27 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,047.13 / $1,584.89