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Massachusetts rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,630.78 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,479.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,168.69 / $16,218.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,445.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $812.83 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $933.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,348.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,168.69 / $16,218.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,479.11