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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.76 / $674.59 / $1,040.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.86 / $748.30 / $888.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.80 / $796.45 / $1,248.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.64 / $960.70 / $1,201.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $724.35 / $911.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,301.55 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.27 / $1,089.73 / $1,201.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.85 / $764.99 / $1,064.99