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Michigan rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.73 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.42 / $434.22 / $477.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.48 / $2,869.12 / $3,887.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $568.28 / $900.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.20 / $476.58 / $729.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.46 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.73 / $416.46 / $596.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $248.99 / $419.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $6,493.00 / $14,744.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.38 / $475.00 / $615.99