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North Carolina 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
$870.96 / $2,818.38 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,445.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,548.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,897.79 / $4,897.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $7,079.46