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Rhode Island rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $794.33