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Louisiana 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
$659.11 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.93 / $678.30 / $916.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.54 / $4,838.85 / $6,815.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.61 / $706.19 / $889.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $554.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.11 / $710.48 / $954.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $7,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.23 / $563.97 / $981.26