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Ohio rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.00 / $3,602.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.57 / $361.38 / $701.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.00 / $3,264.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.16 / $448.77 / $746.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.72 / $406.49 / $539.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.61 / $474.24 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.68 / $525.04 / $736.53
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $405.65 / $405.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.68 / $525.04 / $742.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $256.62 / $431.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,321.00 / $6,831.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.11 / $460.22 / $740.79