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Indiana rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.15 / $824.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.54 / $767.27 / $960.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.48 / $686.91 / $947.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.89 / $830.56 / $1,057.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.02 / $848.66 / $1,152.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.04 / $821.04 / $973.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.27 / $815.73 / $1,413.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $6,436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.51 / $827.35 / $1,513.26