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North Dakota 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
$501.76 / $501.76 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $501.76 / $575.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.92 / $1,193.46 / $1,399.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.38 / $1,228.58 / $1,663.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.76 / $667.15 / $893.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.34 / $920.48 / $1,290.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.34 / $920.48 / $1,290.26