go back

Oklahoma 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
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $547.79 / $574.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.70 / $622.41 / $683.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.06 / $597.21 / $790.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.13 / $713.56 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.00 / $541.34 / $3,855.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.23 / $489.71 / $763.29