go back

Michigan rates for HCPCS 21110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,584.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,951.21 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,122.02