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Iowa rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $4,964.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.94 / $754.59 / $812.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.26 / $1,171.77 / $1,464.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.93 / $701.38 / $1,504.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.56 / $1,250.74 / $7,123.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.01 / $978.12 / $3,855.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.26 / $1,275.22 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.00 / $1,109.63 / $1,448.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.67 / $757.34 / $1,410.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.53 / $1,058.90 / $1,245.80