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North Dakota rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.42 / $699.92 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.19 / $620.07 / $744.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.13 / $1,456.01 / $1,759.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.23 / $1,509.49 / $1,990.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.60 / $716.48 / $1,243.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.36 / $1,352.74 / $4,376.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.00 / $2,313.00 / $2,313.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.36 / $1,321.51 / $1,836.11