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Maine rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $423.86 / $444.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.40 / $481.93 / $675.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.21 / $533.40 / $752.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.82 / $508.87 / $780.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $441.22 / $514.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.16 / $519.41 / $706.09