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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.50 / $489.92 / $2,184.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.95 / $642.23 / $802.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.56 / $572.58 / $983.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.97 / $657.61 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.36 / $519.52 / $3,855.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $507.03 / $992.70