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Delaware rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.57 / $545.23 / $545.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.28 / $414.28 / $414.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.71 / $567.07 / $976.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.82 / $599.58 / $1,235.14