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Mississippi rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.95 / $1,174.89 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.65 / $546.23 / $1,174.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.00 / $1,131.00 / $1,131.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.13 / $889.04 / $1,257.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,800.00 / $14,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.71 / $652.05 / $1,392.18