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Connecticut rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $424.20 / $892.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $11,830.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.73 / $717.85 / $1,017.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $9,619.46 / $9,619.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.78 / $699.57 / $884.35
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $619.86 / $730.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.77 / $641.95 / $1,038.46