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Wisconsin rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Facilitymedian $4,677 · 10th–90th $1,288$9,3330%10%10th90th$4,677Professionalmedian $832 · 10th–90th $479$2,3440%10%10th90th$832$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,023.29 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,786.30 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $954.99 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,041.74 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,148.15 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,202.26 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,148.15 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,000.00 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $10,715.19 / $17,378.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,288.25 / $2,137.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,174.90 / $1,737.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,168.69 / $4,168.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $2,570.40 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,818.38 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,125.38 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $2,089.30