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New Mexico 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
$527.84 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $527.84 / $898.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.72 / $662.58 / $956.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $851.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.12 / $541.45 / $901.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.00 / $706.76 / $1,311.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.14 / $734.99 / $1,055.60