go back

Louisiana rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.03 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.01 / $482.03 / $651.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,288.81 / $6,319.33 / $13,151.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.64 / $466.43 / $686.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $324.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.24 / $512.44 / $711.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,918.00 / $11,696.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.27 / $438.53 / $774.80