go back

Minnesota rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.76 / $905.32 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.39 / $903.15 / $1,363.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.98 / $3,746.29 / $6,167.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.57 / $2,103.42 / $3,016.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,170.23 / $3,079.25 / $7,407.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.34 / $2,363.40 / $3,680.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.94 / $2,815.18 / $5,832.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.06 / $2,158.69 / $3,355.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.97 / $1,365.44 / $2,359.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.89 / $1,669.50 / $5,290.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $1,947.00 / $6,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.83 / $1,550.80 / $3,191.16