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Rhode Island rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.90 / $601.05 / $1,269.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $636.17 / $991.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.55 / $843.83 / $1,369.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.60 / $949.41 / $1,473.23