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Kentucky 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
$453.27 / $652.90 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.27 / $528.92 / $652.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,389.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.97 / $512.66 / $758.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.17 / $705.29 / $813.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.78 / $705.29 / $1,007.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.84 / $620.84 / $642.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.08 / $725.64 / $1,007.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $654.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $950.00 / $3,394.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.81 / $653.98 / $1,033.83