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Kansas rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $371.38 / $549.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $634.00 / $634.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.57 / $505.93 / $776.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.07 / $582.34 / $5,565.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.71 / $496.46 / $4,674.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.00 / $3,125.00 / $6,496.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.71 / $457.01 / $664.29