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North Carolina rates for HCPCS 21100

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

Facilitymedian $1,023 · 10th–90th $398–$7,5860%5%10th90th$1,023Professionalmedian $603 · 10th–90th $339–$1,3180%10%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,659.59 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $812.83 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $724.44 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $616.60 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,202.26 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $11,748.98 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $616.60 / $1,230.27
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $5,248.07