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Nebraska rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.25 / $464.25 / $2,623.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.31 / $764.15 / $1,018.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.21 / $1,113.33 / $1,554.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.25 / $858.86 / $4,253.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.82 / $1,076.75 / $1,461.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.88 / $1,165.00 / $1,647.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.40 / $1,157.92 / $1,554.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.82 / $1,084.07 / $1,367.30