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Alaska rates for HCPCS 21100

Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)

Facilitymedian $912 · 10th–90th $363–$4,0740%5%10th90th$912Professionalmedian $813 · 10th–90th $363–$2,1380%10%10th90th$813$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $645.65 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $870.96 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $870.96 / $2,884.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,511.89 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $851.14 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $724.44 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,584.89 / $3,311.31