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Montana 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
$403.93 / $574.75 / $2,668.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.68 / $859.68 / $859.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.06 / $804.91 / $859.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.50 / $532.02 / $818.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.81 / $804.91 / $1,108.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.30 / $824.99 / $950.69