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Massachusetts rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.34 / $2,747.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.99 / $569.32 / $826.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $4,150.43 / $14,547.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.74 / $979.79 / $5,626.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.47 / $940.80 / $1,493.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $813.56 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.36 / $705.08 / $954.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.66 / $1,233.02 / $1,623.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,671.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.87 / $1,018.53 / $5,626.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.80 / $918.82 / $2,066.83