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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.42 / $757.41 / $901.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,829.12 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.66 / $1,020.28 / $1,120.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.64 / $987.64 / $987.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.00 / $895.70 / $1,257.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.02 / $946.06 / $3,017.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.08 / $876.89 / $6,368.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $2,517.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.32 / $822.72 / $1,200.40