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Massachusetts rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $933.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $4,897.79 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $954.99
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $691.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $630.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $4,897.79 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $1,047.13