go back

Maine rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.87 / $501.06 / $849.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.80 / $475.06 / $693.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.56 / $782.92 / $1,311.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.01 / $771.23 / $1,238.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.87 / $501.06 / $849.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.70 / $1,263.08 / $1,700.32