go back

Colorado rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.27 / $358.13 / $479.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.85 / $493.95 / $773.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.60 / $5,028.60 / $15,840.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.91 / $527.87 / $707.41
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.27 / $533.26 / $677.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.12 / $497.12 / $685.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,118.00 / $11,599.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.47 / $544.80 / $807.49