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Washington, DC 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
$1,017.00 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.49 / $570.49 / $570.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.54 / $619.22 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.08 / $673.27 / $1,510.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.01 / $1,261.83 / $1,261.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.74 / $698.25 / $1,527.75