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Maryland rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.81 / $196.81 / $196.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.57 / $808.81 / $1,947.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.37 / $711.90 / $904.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $578.40 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.54 / $962.41 / $1,934.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.28 / $1,139.66 / $1,532.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.00 / $471.00 / $802.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.85 / $819.28 / $1,619.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.14 / $1,015.98 / $1,256.11