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Arkansas rates for HCPCS 21720

Division of sternocleidomastoid for torticollis, open operation; without cast application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.59 / $1,342.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.75 / $575.62 / $663.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.00 / $691.25 / $731.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.52 / $2,221.52 / $2,221.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.88 / $667.26 / $955.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,593.08 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.23 / $576.32 / $1,006.69