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North Carolina 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
$344.23 / $901.00 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.23 / $607.25 / $1,093.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $844.20 / $1,640.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.75 / $745.45 / $1,600.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.23 / $607.25 / $1,125.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $1,039.00 / $1,039.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $828.80 / $1,993.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.01 / $874.96 / $1,660.18
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,512.80 / $2,512.80 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.28 / $4,505.20 / $5,233.64