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Massachusetts rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.34 / $2,079.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.45 / $791.34 / $1,812.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,411.51 / $4,851.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.60 / $1,582.33 / $6,144.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.95 / $1,106.32 / $1,975.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.36 / $1,346.89 / $2,385.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.91 / $1,569.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.73 / $1,207.51 / $1,676.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.85 / $1,831.67 / $2,394.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,372.00 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.22 / $1,716.32 / $6,144.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $3,592.00 / $8,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.63 / $1,270.05 / $2,617.03