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Halo Device Application For Facial Fracture

Wisconsin rates for HCPCS 21100

A rigid ring device is fitted around the head and anchored to the skull with pins to hold the face and jaw bones still while a fracture heals. It is used for serious facial injuries where the bones need to stay in a fixed position for an extended period. The device stays in place for weeks and is removed once healing is confirmed.

Rates data updated July 2026.

Facilitymedian $9,772 · 10th–90th $617$16,9820%5%10%10th90th$9,772Professionalmedian $891 · 10th–90th $363$2,6300%5%10%10th90th$891$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,479.11
Typical High
$2,951.21
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$3,548.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$776.25
Typical High
$13,182.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,479.11
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$512.86
Network Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,445.44
Typical High
$2,344.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$602.56
Typical High
$1,288.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$2,089.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$4,466.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,089.30
Security Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$2,290.87
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,302.69
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$851.14
Typical High
$2,398.83