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Idaho rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.63 / $514.02 / $714.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.92 / $537.60 / $645.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.25 / $714.84 / $926.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.48 / $621.25 / $809.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $541.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.70 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.22 / $708.49 / $809.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.95 / $559.44 / $801.81