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Maine rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.45 / $840.41 / $1,057.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.49 / $915.41 / $1,314.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.92 / $1,261.25 / $1,843.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.86 / $1,062.86 / $1,867.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.51 / $828.72 / $1,057.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.19 / $1,073.60 / $1,449.39