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Kentucky rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.95 / $930.82 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,559.00 / $10,990.10 / $30,856.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.17 / $874.09 / $1,008.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.20 / $767.20 / $916.57
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.27 / $75.27 / $75.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00