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Iowa rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.25 / $812.51 / $1,158.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.73 / $1,165.00 / $1,446.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.64 / $801.90 / $2,277.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.51 / $1,264.06 / $8,604.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.58 / $1,129.92 / $5,626.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.21 / $1,188.84 / $1,554.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.61 / $1,170.53 / $1,554.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.79 / $901.19 / $1,629.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.59 / $1,021.00 / $1,201.20