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Indiana rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,737.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $691.83 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,445.44