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Minnesota rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.52 / $647.41 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.52 / $620.88 / $1,147.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.05 / $9,458.16 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.43 / $1,219.83 / $2,144.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.86 / $2,224.04 / $5,350.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.82 / $1,415.55 / $2,568.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.91 / $2,033.30 / $4,212.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.97 / $1,348.75 / $2,454.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.52 / $838.30 / $1,755.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.89 / $1,515.14 / $2,733.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.57 / $1,450.10 / $2,552.92