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North Dakota rates for HCPCS 21100

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

Facilitymedian $676 · 10th–90th $363–$8,5110%20%10th90th$676Professionalmedian $724 · 10th–90th $363–$1,4450%10%10th90th$724$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $645.65 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $630.96 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $954.99 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,000.00 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $645.65 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,445.44 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $8,912.51 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $794.33 / $1,584.89