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Minnesota rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.15 / $334.15 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.16 / $376.48 / $613.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,507.17 / $13,558.82 / $26,448.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.41 / $991.25 / $1,293.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.16 / $1,146.66 / $2,758.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.71 / $961.69 / $1,428.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.69 / $1,048.32 / $2,172.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.58 / $862.10 / $1,309.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.98 / $648.84 / $2,735.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.97 / $703.70 / $1,414.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $7,770.00 / $23,633.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.06 / $676.55 / $1,366.33