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California 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
$1,587.51 / $6,640.00 / $17,701.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.48 / $469.18 / $2,184.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.54 / $626.80 / $1,221.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,908.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.05 / $386.01 / $910.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.15 / $607.08 / $1,369.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.30 / $619.95 / $836.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.79 / $696.53 / $1,351.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,061.44 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,783.52 / $3,855.60 / $4,809.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.74 / $683.74 / $898.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.15 / $632.44 / $1,386.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.83 / $1,655.83 / $1,655.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.49 / $562.11 / $687.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,352.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.76 / $495.00 / $1,136.08