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Kentucky rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.85 / $684.95 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.85 / $598.55 / $745.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.14 / $471.42 / $748.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.83 / $730.37 / $842.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $731.67 / $1,173.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.99 / $959.91 / $959.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.57 / $786.54 / $1,316.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $809.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $4,039.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.22 / $774.72 / $1,243.09