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Maryland rates for HCPCS 21720

Division of sternocleidomastoid for torticollis, open operation; without cast application

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.45 / $545.65 / $854.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.80 / $565.54 / $622.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.89 / $621.87 / $1,220.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.55 / $751.19 / $974.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.48 / $545.83 / $1,015.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.28 / $669.67 / $807.27