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Colorado rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.72 / $3,483.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.70 / $669.46 / $940.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.28 / $855.42 / $1,359.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.57 / $941.57 / $2,966.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.30 / $881.88 / $1,310.81
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.38 / $796.10 / $1,154.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.63 / $950.46 / $1,357.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.00 / $3,397.00 / $6,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $978.88 / $1,648.10