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Oklahoma rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $5,915.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.64 / $565.47 / $715.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.00 / $9,962.39 / $15,740.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.33 / $780.20 / $961.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.47 / $847.24 / $10,232.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.71 / $644.95 / $5,626.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $584.26 / $845.17