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Delaware rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.65 / $528.47 / $528.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.32 / $587.47 / $1,021.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.30 / $686.88 / $1,248.30