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New York rates for HCPCS 21100

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

Facilitymedian $4,571 · 10th–90th $813$11,4820%5%10th90th$4,571Professionalmedian $661 · 10th–90th $363$1,5850%5%10%10th90th$661$100.0$500.0$2.0K$10.0K$50.0K

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
$562.34 / $3,090.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $707.95 / $1,698.24
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $2,398.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $426.58 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,047.13 / $1,445.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $812.83 / $1,318.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,495.41 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $741.31 / $2,137.96
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $1,621.81
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,445.44