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Washington, DC rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.96 / $536.96 / $1,211.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.23 / $580.90 / $1,575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.53 / $940.07 / $1,450.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.23 / $1,183.76 / $1,183.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.17 / $713.40 / $1,433.22