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Nebraska rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $776.25 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $575.44 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,096.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $645.65 / $912.01