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Mississippi rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,124.84 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.57 / $660.07 / $1,344.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.58 / $697.58 / $697.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.00 / $726.00 / $726.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.48 / $680.07 / $1,124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.34 / $946.65 / $1,314.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,467.00 / $4,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.05 / $742.73 / $1,435.94