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Michigan rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.39 / $715.40 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.58 / $645.23 / $715.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,591.71 / $3,041.90 / $4,121.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.69 / $792.29 / $1,283.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.35 / $666.02 / $1,087.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.43 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.41 / $664.43 / $901.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.91 / $397.01 / $626.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.54 / $742.01 / $924.12