go back

Iowa rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $3,235.94 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $954.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $524.81 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $954.99 / $17,378.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $741.31 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,413.10 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $812.83