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New York 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
$776.25 / $4,265.80 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,318.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $2,238.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,621.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,380.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,122.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,737.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,584.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $1,348.96