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Kansas rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.00 / $3,158.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.59 / $865.65 / $1,374.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.32 / $860.38 / $1,020.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.96 / $981.14 / $1,676.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.19 / $1,017.32 / $2,146.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.40 / $1,022.28 / $6,368.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,081.00 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.58 / $949.61 / $1,352.03