go back

Maine rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.79 / $548.34 / $644.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.03 / $719.57 / $1,041.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.57 / $773.69 / $1,129.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.13 / $786.91 / $1,207.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.95 / $509.41 / $854.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.43 / $629.63 / $1,099.79