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Florida rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.70 / $3,401.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $536.96 / $715.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.33 / $721.84 / $1,238.56
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.89 / $545.02 / $720.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.93 / $442.35 / $707.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.70 / $623.64 / $1,117.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.22 / $406.22 / $544.60