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Connecticut rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $6,653.00 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.93 / $566.24 / $1,325.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,824.00 / $8,848.00 / $11,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.25 / $953.22 / $1,276.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $1,034.59 / $1,034.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.29 / $973.82 / $1,382.47
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.14 / $768.42 / $962.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,210.00 / $7,760.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.08 / $931.23 / $1,585.89