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California rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,606.93 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $1,819.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $1,174.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,311.31 / $9,332.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $933.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $933.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $588.84 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $758.58