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New Jersey 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
$417.57 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.94 / $480.72 / $845.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.06 / $686.66 / $1,501.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.08 / $709.97 / $907.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,365.87 / $7,888.29 / $17,105.68
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.60 / $595.78 / $1,202.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.15 / $638.64 / $1,549.79