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Mississippi rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $1,140.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.57 / $528.92 / $1,177.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.70 / $400.70 / $400.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.00 / $928.00 / $928.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.94 / $390.63 / $431.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $808.81 / $1,120.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $870.00 / $3,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.55 / $619.29 / $1,373.62