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Minnesota rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $870.96 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,137.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $3,388.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,000.00 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,862.09