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Washington, DC 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
$1,017.00 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.21 / $572.21 / $572.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $596.00 / $2,298.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.88 / $780.75 / $1,521.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.98 / $1,265.92 / $1,265.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.18 / $1,029.36 / $1,532.69