go back

North Carolina rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.73 / $956.59 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.73 / $697.30 / $1,159.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.58 / $1,301.58 / $1,320.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.20 / $1,016.39 / $1,796.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $1,128.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.13 / $851.27 / $1,579.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $734.30 / $1,242.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $924.00 / $924.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $946.10 / $2,020.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,445.00 / $6,097.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.89 / $794.74 / $1,641.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,055.28 / $4,055.28 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,268.32 / $5,117.68 / $5,961.68