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North Dakota 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
$707.95 / $831.76 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,584.89 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,513.56 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $1,905.46