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Connecticut rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $7,629.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $593.80 / $1,401.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,329.50 / $19,753.83 / $26,880.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.19 / $1,069.00 / $1,627.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.92 / $1,045.21 / $1,327.14
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.46 / $870.75 / $1,090.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.01 / $924.32 / $1,598.86