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New Jersey 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
$2,290.87 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $2,344.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,479.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,786.30 / $7,585.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,949.84