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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $464.86 / $2,465.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,896.35 / $6,440.04 / $12,457.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.25 / $772.61 / $1,030.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.58 / $1,109.63 / $1,466.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.86 / $836.75 / $4,803.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.32 / $950.88 / $1,379.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.03 / $1,173.81 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.00 / $987.00 / $1,466.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.32 / $994.48 / $1,295.14