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Washington rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Facilitymedian $912 · 10th–90th $447$18,6210%10%10th90th$912Professionalmedian $490 · 10th–90th $324$9770%10%20%10th90th$490$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $6,025.60 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $870.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $19,054.61 / $38,904.51
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $691.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $1,047.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $8,128.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $691.83 / $6,606.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $741.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $489.78 / $2,187.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $707.95 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $38,904.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $691.83 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $20,892.96 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $549.54 / $933.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $371.54 / $660.69