go back

Alaska rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $758.58 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $707.95 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $489.78 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,659.59 / $2,089.30