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Rhode Island rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.25 / $591.53 / $754.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.77 / $644.66 / $929.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.86 / $794.01 / $1,073.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.95 / $684.49 / $1,054.68