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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.03 / $496.03 / $2,837.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.69 / $819.37 / $1,092.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.40 / $566.40 / $566.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.00 / $1,192.58 / $1,598.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.03 / $868.05 / $3,074.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.89 / $980.83 / $1,485.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.94 / $1,038.56 / $1,598.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.00 / $1,103.90 / $1,598.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.89 / $1,116.64 / $1,281.25