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Illinois rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,972.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.94 / $522.74 / $994.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.58 / $6,290.98 / $13,460.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.37 / $960.15 / $1,132.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,072.73 / $3,430.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.34 / $731.72 / $1,103.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.57 / $917.18 / $2,057.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.57 / $701.38 / $805.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $911.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,751.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.55 / $643.00 / $1,200.86