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West Virginia 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
$679.16 / $1,003.18 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.16 / $813.79 / $1,225.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.41 / $718.25 / $846.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.42 / $752.39 / $752.39
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
$690.66 / $940.49 / $2,164.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.08 / $7,921.08 / $7,921.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.87 / $718.59 / $1,196.34