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Indiana 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
$831.76 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $691.83 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,348.96