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Maryland rates for HCPCS 21100

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

Facilitymedian $851 · 10th–90th $447–$2,8840%10%10th90th$851Professionalmedian $575 · 10th–90th $339–$1,1480%5%10%10th90th$575$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $1,148.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $457.09 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $676.08 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $851.14 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $630.96 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $1,000.00