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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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,737.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $891.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $3,548.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,630.78 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $1,318.26