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Virginia rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.73 / $3,484.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.54 / $579.58 / $797.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.45 / $421.30 / $696.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.60 / $416.26 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $609.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.41 / $668.81 / $1,254.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.30 / $770.41 / $910.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.13 / $675.56 / $1,102.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.00 / $1,027.00 / $1,213.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.00 / $470.42 / $1,779.49
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.91 / $850.45 / $2,813.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.95 / $825.87 / $1,499.46