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Minnesota 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
$542.39 / $542.39 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.25 / $552.74 / $856.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.37 / $2,321.31 / $11,338.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.51 / $1,537.89 / $1,954.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.67 / $1,875.26 / $4,511.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.20 / $1,580.56 / $2,347.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.52 / $1,714.44 / $3,552.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.31 / $1,413.13 / $2,152.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.03 / $930.42 / $1,755.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.89 / $1,053.06 / $2,142.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.15 / $1,138.31 / $2,110.32