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Vermont rates for HCPCS 21100

Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $707.95 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $776.25 / $1,412.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,548.82