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Kansas rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.11 / $551.12 / $859.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.12 / $801.32 / $801.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.19 / $704.09 / $1,007.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.72 / $786.98 / $2,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.45 / $662.55 / $4,241.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,353.00 / $2,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.84 / $645.52 / $893.80