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Rhode Island rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.45 / $856.91 / $1,225.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.35 / $868.64 / $1,563.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.92 / $1,276.53 / $1,680.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.00 / $3,465.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.69 / $1,182.33 / $1,799.65