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Arkansas rates for HCPCS 21725

Division of sternocleidomastoid for torticollis, open operation; with cast application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.93 / $640.25 / $751.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.03 / $660.03 / $792.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.11 / $721.39 / $763.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.88 / $146.88 / $146.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.74 / $805.68 / $1,007.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.74 / $630.47 / $1,016.93