go back

Rhode Island rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.17 / $695.70 / $812.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.67 / $658.36 / $903.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.78 / $861.99 / $1,117.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.52 / $697.28 / $1,120.69