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Georgia rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.02 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $596.15 / $1,321.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.95 / $4,096.78 / $21,657.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.97 / $825.68 / $1,438.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.96 / $1,104.59 / $1,502.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $607.54 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.40 / $878.04 / $1,389.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.83 / $868.46 / $1,664.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.59 / $817.84 / $1,305.26