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Kansas 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
$912.01 / $2,754.23 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,047.13 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,230.27