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Indiana rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.27 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.42 / $347.42 / $459.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,570.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.84 / $610.16 / $828.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.60 / $436.93 / $655.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.08 / $390.11 / $561.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.77 / $549.84 / $824.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.57 / $420.76 / $723.41