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Tennessee rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.62 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.03 / $791.34 / $1,345.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,136.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.54 / $1,016.09 / $1,603.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.68 / $1,014.83 / $1,591.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,851.47 / $5,021.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,111.12 / $6,144.16 / $7,146.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $2,260.00 / $4,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.08 / $887.50 / $1,639.07