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New York 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
$548.59 / $2,952.00 / $8,134.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.88 / $633.75 / $1,269.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.48 / $693.88 / $1,532.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.84 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.84 / $504.84 / $914.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.29 / $609.29 / $609.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.50 / $814.90 / $2,203.16
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $391.60 / $938.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.98 / $972.33 / $1,383.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.77 / $578.77 / $578.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.02 / $645.84 / $1,305.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $609.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.50 / $876.96 / $2,203.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.91 / $818.49 / $2,055.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.28 / $429.28 / $1,639.36
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.02 / $806.58 / $1,305.45