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North Carolina 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
$530.98 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.98 / $559.54 / $1,031.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.62 / $109.62 / $111.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.83 / $830.49 / $1,379.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $648.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.25 / $752.55 / $1,354.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.98 / $699.00 / $1,059.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $672.00 / $708.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $721.20 / $1,266.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.96 / $677.33 / $1,442.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,074.76 / $3,776.52 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,241.68 / $4,241.68 / $4,719.68