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Indiana rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.62 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.27 / $507.35 / $683.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.00 / $5,061.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.53 / $441.81 / $670.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.12 / $643.66 / $742.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.12 / $594.14 / $742.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.05 / $506.05 / $599.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.86 / $682.80 / $1,098.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.07 / $579.89 / $1,012.43