go back

Maine rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.64 / $569.32 / $665.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.71 / $721.75 / $1,007.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.53 / $792.76 / $1,138.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.81 / $758.77 / $1,164.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.99 / $593.80 / $665.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.28 / $746.40 / $1,021.67