go back

Washington, DC rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $1,174.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,659.59 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $630.96 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $724.44 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $16,218.10 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $954.99