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New Mexico rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.25 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $423.86 / $594.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.80 / $544.85 / $751.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.81 / $594.27 / $733.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $563.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.48 / $553.75 / $1,122.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.35 / $636.72 / $875.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $31,244.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.47 / $545.37 / $768.24