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Vermont rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.83 / $454.18 / $807.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.80 / $845.67 / $1,518.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.35 / $1,002.43 / $1,518.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.36 / $953.88 / $2,772.99