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Rhode Island rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.19 / $732.54 / $1,129.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.55 / $724.40 / $1,441.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.64 / $1,057.50 / $1,417.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.00 / $3,465.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.52 / $982.87 / $1,599.79