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Arizona rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.06 / $526.08 / $2,837.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.78 / $654.60 / $818.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.73 / $629.36 / $1,065.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.08 / $698.29 / $2,710.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.68 / $577.20 / $4,241.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.60 / $546.00 / $1,068.31