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Texas rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,783.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $361.38 / $616.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,848.28 / $8,793.46 / $15,732.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.50 / $375.72 / $592.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $324.76 / $337.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $405.65 / $405.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.13 / $500.64 / $767.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.44 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,674.28 / $4,674.28 / $4,674.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.26 / $508.01 / $797.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.43 / $517.71 / $641.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.90 / $672.90 / $672.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.26 / $511.54 / $811.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.90 / $510.89 / $767.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,451.00 / $8,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.37 / $392.58 / $634.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.57 / $336.83 / $461.44