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Idaho rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.13 / $870.96 / $1,070.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.83 / $801.05 / $972.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.92 / $1,070.45 / $1,380.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.14 / $926.33 / $1,208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $715.37 / $899.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.94 / $1,056.40 / $1,208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.76 / $854.69 / $1,282.06