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Maryland rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,323.85 / $4,323.85 / $4,609.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.19 / $536.96 / $1,359.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.23 / $580.90 / $765.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.83 / $754.35 / $1,216.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.10 / $715.18 / $1,037.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.62 / $637.65 / $1,158.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.40 / $637.55 / $777.29