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North Carolina 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
$588.84 / $1,698.24 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $630.96 / $977.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,918.31 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $1,023.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,786.30