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Illinois rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.00 / $2,747.00 / $7,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.64 / $562.47 / $1,096.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,432.68 / $7,342.64 / $14,703.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.92 / $929.11 / $1,122.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.46 / $809.82 / $1,197.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.86 / $935.55 / $3,114.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.96 / $694.98 / $779.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $881.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.35 / $781.69 / $1,227.36