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Minnesota rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.01 / $513.01 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $513.01 / $812.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.63 / $5,939.08 / $11,503.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.57 / $1,520.22 / $1,989.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.80 / $1,776.12 / $4,272.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.91 / $1,498.84 / $2,226.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.00 / $1,623.80 / $3,364.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.87 / $1,340.06 / $2,041.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.68 / $893.48 / $3,061.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.58 / $987.00 / $2,048.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.58 / $985.01 / $1,989.42