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New Mexico 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
$512.86 / $977.24 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $616.60 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,202.26