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Arkansas rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.04 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.95 / $649.04 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.63 / $688.29 / $728.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.34 / $894.76 / $1,015.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,555.00 / $8,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.59 / $745.90 / $1,008.02