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Maryland rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,237.90 / $6,237.90 / $6,237.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.17 / $361.38 / $944.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.19 / $405.87 / $545.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.03 / $520.27 / $817.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.05 / $479.73 / $765.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.11 / $420.73 / $756.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.88 / $427.66 / $521.51