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Kansas rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.92 / $540.55 / $818.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.54 / $731.23 / $731.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.37 / $697.12 / $1,038.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.40 / $740.26 / $5,562.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.23 / $608.92 / $3,855.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.40 / $608.92 / $870.34