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Kentucky rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.33 / $787.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.58 / $728.92 / $902.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.36 / $532.33 / $838.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.75 / $876.30 / $1,010.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.52 / $877.87 / $1,408.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.33 / $1,151.71 / $1,151.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.95 / $912.28 / $1,427.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $181.69 / $823.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.49 / $936.49 / $1,493.71