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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
$676.08 / $794.33 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,288.25 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $2,570.40