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Wyoming rates for HCPCS 21110

Application of interdental fixation device for conditions other than fracture or dislocation, includes removal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.07 / $865.03 / $1,184.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.00 / $1,630.00 / $1,630.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.00 / $1,642.00 / $2,483.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.89 / $1,497.50 / $2,442.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.58 / $1,643.11 / $2,554.05