go back

Massachusetts 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
$792.60 / $2,497.00 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.57 / $513.49 / $854.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $3,715.00 / $9,039.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.31 / $860.17 / $3,783.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.45 / $810.96 / $1,499.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.53 / $1,172.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.82 / $747.61 / $1,031.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.84 / $1,339.79 / $1,767.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.64 / $913.97 / $3,783.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.07 / $804.57 / $1,760.34