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North Dakota rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.78 / $516.78 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.66 / $516.78 / $569.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.11 / $1,150.79 / $1,349.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.79 / $1,205.93 / $1,606.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.78 / $821.96 / $1,107.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.39 / $976.08 / $1,322.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.83 / $907.78 / $1,115.36