go back

Louisiana rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.75 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.11 / $698.16 / $943.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $641.02 / $1,447.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.47 / $709.12 / $881.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $501.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.76 / $725.97 / $1,010.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.90 / $591.15 / $1,045.70