go back

Florida rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.20 / $3,153.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.30 / $633.95 / $879.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $655.25 / $780.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.65 / $802.42 / $1,264.73
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.29 / $464.84 / $740.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.96 / $487.64 / $860.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,611.00 / $6,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.51 / $680.78 / $1,227.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.43 / $543.33 / $543.33