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New Jersey 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
$544.76 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.59 / $536.45 / $916.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.41 / $747.47 / $1,612.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.70 / $793.47 / $880.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.43 / $1,380.43 / $3,474.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.10 / $651.54 / $1,287.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.74 / $650.99 / $1,585.89