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Rhode Island rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $688.90 / $826.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.69 / $618.26 / $1,064.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.02 / $940.80 / $1,104.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.65 / $765.94 / $1,207.81