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Alabama rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.30 / $639.39 / $1,115.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.56 / $6,380.30 / $8,583.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.62 / $806.00 / $951.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.02 / $810.03 / $2,060.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,826.00 / $3,372.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.37 / $636.62 / $1,064.11