go back

North Dakota rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.61 / $536.61 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.64 / $536.61 / $556.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.26 / $1,207.21 / $1,415.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.93 / $1,338.43 / $1,782.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.61 / $692.55 / $930.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.00 / $1,001.69 / $1,389.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.00 / $984.41 / $1,238.59