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West Virginia 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
$532.27 / $831.76 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.92 / $572.21 / $812.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.09 / $644.14 / $701.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.02 / $623.82 / $623.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.84 / $620.84 / $620.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.76 / $776.08 / $1,536.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.80 / $631.37 / $857.75