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Illinois rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.72 / $1,433.81 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.08 / $769.51 / $1,376.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.23 / $7,480.07 / $16,314.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.94 / $1,119.31 / $1,635.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $1,192.07 / $1,330.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.78 / $1,013.07 / $1,532.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.02 / $1,192.32 / $2,165.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.02 / $848.17 / $1,119.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,265.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $2,435.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.60 / $979.21 / $1,745.51