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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.45 / $540.55 / $854.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.08 / $557.60 / $830.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.49 / $673.37 / $1,119.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.45 / $810.84 / $8,660.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.59 / $709.30 / $3,855.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.90 / $635.40 / $1,096.50