go back

Nevada rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $2,173.00 / $4,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.19 / $660.07 / $3,104.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.61 / $688.62 / $1,026.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.66 / $691.66 / $691.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.50 / $764.79 / $1,156.66
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $744.55 / $1,130.03
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.08 / $1,637.08 / $1,637.08
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $685.96 / $1,072.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $2,116.00 / $3,658.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.40 / $727.89 / $1,192.24