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West Virginia rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $9,120.11 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $467.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $20,417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $660.69