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Wyoming rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $346.74 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,513.56