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Arizona rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $389.51 / $705.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.88 / $415.86 / $519.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.47 / $461.00 / $729.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.51 / $486.49 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $429.97 / $4,674.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.88 / $404.04 / $726.40