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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
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $413.76 / $566.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.32 / $3,715.00 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.89 / $664.18 / $4,674.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.17 / $629.02 / $1,000.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.84 / $732.40 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.56 / $476.06 / $644.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.04 / $866.39 / $1,142.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.30 / $698.49 / $4,674.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $20,669.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.12 / $626.26 / $1,065.72