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Oklahoma rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.67 / $376.48 / $385.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,064.77 / $6,457.50 / $10,202.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.65 / $428.51 / $470.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.96 / $505.24 / $684.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.48 / $622.57 / $5,543.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.81 / $436.38 / $4,674.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $6,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.55 / $400.06 / $571.14