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
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $424.20 / $553.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.22 / $780.34 / $964.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.61 / $560.85 / $1,586.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.70 / $954.92 / $11,139.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.07 / $748.17 / $4,674.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $964.78 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $780.34 / $1,038.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $9,076.96 / $18,346.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.37 / $534.35 / $1,087.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.91 / $684.70 / $805.60