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Vermont rates for HCPCS 21725

Division Sternocleidomastoid Open W/Cast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.45 / $644.52 / $644.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.52 / $927.61 / $1,211.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.84 / $804.06 / $1,211.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.61 / $761.03 / $2,212.36