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Michigan 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
$687.16 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $575.62 / $812.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.48 / $2,869.12 / $3,887.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.68 / $862.75 / $1,370.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.40 / $569.86 / $1,080.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.23 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.48 / $594.25 / $854.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $389.02 / $632.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.14 / $574.69 / $812.91