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Kansas 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
$794.33 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,467.37 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $724.44 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $831.76 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,023.29