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Tennessee rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.65 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.55 / $564.64 / $1,011.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $5,313.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.10 / $732.18 / $1,157.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.16 / $772.42 / $1,109.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,150.43 / $4,253.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,626.96 / $5,626.96 / $5,626.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.49 / $701.04 / $1,265.41