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Minnesota 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
$741.31 / $912.01 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,168.69 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,398.83 / $3,715.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,348.96 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,691.53 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $2,754.23