go back

North Carolina rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.77 / $11,821.73 / $15,335.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.77 / $542.13 / $1,065.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.57 / $1,149.69 / $1,481.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.25 / $855.17 / $1,377.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.77 / $842.00 / $1,181.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.00 / $687.00 / $784.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $669.00 / $1,650.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.71 / $712.04 / $1,368.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,150.43 / $4,150.43
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,626.96 / $5,626.96 / $5,626.96