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Texas rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,124.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.45 / $816.86 / $1,203.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.81 / $821.65 / $3,132.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.21 / $847.52 / $1,329.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $652.70 / $652.70
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
$697.81 / $971.86 / $1,508.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $5,021.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,111.12 / $6,144.16 / $7,146.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.70 / $838.29 / $1,384.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.48 / $1,131.49 / $1,486.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.90 / $512.90 / $512.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.66 / $840.52 / $1,447.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.15 / $1,032.07 / $1,645.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.00 / $2,494.00 / $4,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.94 / $851.35 / $1,322.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.80 / $790.83 / $1,120.28