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Indiana rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $954.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $346.74 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $724.44