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Delaware rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.45 / $605.70 / $730.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.24 / $721.24 / $721.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.65 / $621.29 / $1,303.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.95 / $628.87 / $1,556.78