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North Dakota 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
$363.08 / $645.65 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $575.44 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $977.24 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $676.08 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,445.44 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $812.83 / $1,584.89