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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
$480.72 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $507.09 / $648.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.91 / $557.60 / $769.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.94 / $614.82 / $709.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.94 / $567.53 / $709.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.27 / $598.86 / $974.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.79 / $525.10 / $960.95