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New Mexico 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
$552.23 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.64 / $552.23 / $2,202.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.04 / $780.07 / $972.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $789.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.15 / $665.44 / $1,020.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.03 / $806.08 / $1,340.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.44 / $761.40 / $1,155.78