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Kentucky rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.67 / $787.00 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.67 / $347.42 / $647.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,389.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.16 / $404.17 / $613.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.70 / $461.45 / $532.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.61 / $461.45 / $659.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $405.65 / $579.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.77 / $560.04 / $827.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $428.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.69 / $502.58 / $740.30