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Georgia rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $851.14 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $831.76