go back

South Carolina 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
$707.95 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $602.56 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $724.44 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $660.69 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $575.44 / $1,047.13