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Oklahoma rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.27 / $568.61 / $578.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.73 / $608.73 / $608.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.79 / $685.72 / $845.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.75 / $737.27 / $3,485.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.07 / $612.48 / $4,241.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.40 / $567.79 / $804.71