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Alabama rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,659.59 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,248.07 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,122.02