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New York rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.06 / $2,660.00 / $7,343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.11 / $840.41 / $1,653.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.11 / $861.97 / $1,823.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.02 / $1,026.02 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.02 / $1,026.02 / $1,235.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.71 / $1,151.71 / $1,151.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.27 / $1,097.46 / $2,780.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $749.97 / $1,823.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.21 / $1,286.32 / $1,888.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.36 / $789.36 / $789.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.15 / $1,022.60 / $1,803.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.48 / $2,557.48 / $2,557.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,151.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.71 / $1,152.46 / $2,720.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.00 / $3,682.00 / $7,355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.82 / $1,019.41 / $2,597.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.25 / $849.25 / $2,492.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.15 / $1,100.05 / $1,805.44