go back

Washington, DC rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $5,495.41 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $1,778.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,445.44