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New Jersey rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.77 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.69 / $567.07 / $895.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.11 / $813.21 / $1,652.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.07 / $808.30 / $853.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.25 / $677.38 / $1,349.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.62 / $674.55 / $1,598.86