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Minnesota rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.66 / $495.66 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.12 / $516.78 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.96 / $778.05 / $3,978.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.67 / $1,478.01 / $1,928.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.08 / $1,698.49 / $4,085.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.99 / $1,424.10 / $2,115.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.26 / $1,552.82 / $3,217.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.39 / $1,276.99 / $1,939.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.27 / $868.47 / $1,547.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.66 / $1,037.92 / $2,122.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.66 / $1,014.57 / $2,038.70