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Florida 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
$458.00 / $3,276.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.38 / $538.50 / $797.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.54 / $639.87 / $1,312.55
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.37 / $431.40 / $670.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.48 / $415.81 / $768.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.48 / $698.78 / $1,264.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.60 / $477.71 / $477.71