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Rhode Island 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
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,413.10 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,318.26