go back

Alaska rates for HCPCS 21100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $630.96 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $891.25 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,454.71 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $851.14 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $724.44 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,778.28 / $3,311.31