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Rhode Island rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,174.90