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California 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
$3,090.30 / $7,585.78 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,584.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $251.19 / $8,709.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,412.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,677.35 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,412.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $1,174.90