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Maine 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
$457.09 / $602.56 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,202.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,621.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,258.93