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Missouri rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.04 / $551.12 / $859.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.66 / $640.78 / $998.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.56 / $717.35 / $1,178.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.14 / $826.68 / $3,074.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.27 / $752.65 / $4,241.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.70 / $706.57 / $1,162.83