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Indiana 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
$891.25 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $524.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $758.58 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $891.25