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Utah rates for HCPCS 21720

Division Sternocleidomastoid Open W/O Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.14 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.95 / $638.14 / $2,668.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.04 / $689.27 / $1,167.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $332.06 / $496.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.47 / $843.60 / $1,195.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.10 / $540.00 / $898.95