go back

Alabama rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.25 / $1,678.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.16 / $546.23 / $869.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.97 / $7,518.88 / $10,115.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.49 / $813.00 / $959.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.37 / $656.60 / $1,891.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.00 / $4,852.00 / $9,624.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.62 / $532.79 / $925.27