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Wyoming rates for HCPCS 21725

Division of sternocleidomastoid for torticollis, open operation; with cast application

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.75 / $552.74 / $698.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.00 / $752.00 / $752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.00 / $1,267.00 / $1,918.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.08 / $1,101.49 / $1,531.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.40 / $1,086.58 / $1,801.80