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Arkansas rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.26 / $1,218.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $391.85 / $595.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.30 / $6,727.30 / $8,072.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.93 / $461.17 / $488.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.52 / $2,221.52 / $2,221.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.50 / $594.87 / $702.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $2,052.00 / $9,373.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $497.90 / $713.51