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Maryland rates for HCPCS 21110

Application of interdental fixation device for conditions other than fracture or dislocation, includes removal

Facilitymedian $214 · 10th–90th $195–$7080%20%40%10th90th$214Professionalmedian $832 · 10th–90th $646–$1,6980%10%10th90th$832$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $831.76 / $1,778.28
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $707.95 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $954.99 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $436.52 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,071.52 / $1,412.54