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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
$758.58 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $22,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,023.29