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Missouri rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.74 / $358.07 / $549.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.25 / $483.57 / $717.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.60 / $509.37 / $814.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.99 / $597.48 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $544.76 / $4,674.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $3,018.00 / $23,874.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.98 / $475.78 / $751.15