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Maryland rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.87 / $586.70 / $1,653.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.32 / $382.60 / $428.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.18 / $666.17 / $1,465.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.29 / $834.78 / $1,131.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.28 / $765.77 / $1,359.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.12 / $744.19 / $920.42