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Florida 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
$482.68 / $3,403.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.27 / $532.27 / $717.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.16 / $377.13 / $494.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.94 / $683.70 / $1,075.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $3,151.00 / $7,541.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.98 / $503.84 / $614.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $412.67 / $681.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $2,671.00 / $6,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.45 / $561.44 / $1,030.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.87 / $425.87 / $503.24