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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
$676.08 / $812.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,230.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,122.02