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Nebraska 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
$579.50 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.68 / $579.50 / $1,986.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,303.68 / $6,975.78 / $13,493.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $681.09 / $1,175.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.13 / $1,157.74 / $1,822.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.92 / $711.47 / $2,523.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $1,366.52 / $2,677.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.55 / $1,367.08 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.93 / $1,171.04 / $1,733.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.78 / $1,393.12 / $1,757.06