go back

North Dakota rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.03 / $841.50 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.84 / $747.76 / $905.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.96 / $1,759.75 / $2,131.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.24 / $1,802.70 / $2,698.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.11 / $841.50 / $1,489.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.35 / $1,543.73 / $5,290.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.00 / $1,783.00 / $1,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.35 / $1,465.92 / $1,816.21