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Vermont rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,174.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,230.27