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Wyoming rates for HCPCS 21705

Division of scalenus anticus; with resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.73 / $533.13 / $645.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.00 / $1,214.00 / $1,837.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.83 / $1,028.88 / $1,430.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.46 / $1,082.40 / $2,191.81