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Tennessee 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
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.93 / $507.09 / $837.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.70 / $665.48 / $1,035.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.47 / $665.86 / $1,019.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,061.44 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,783.52 / $3,855.60 / $4,809.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.04 / $564.89 / $1,026.24