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Alaska rates for HCPCS 21295

Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.99 / $931.24 / $931.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.50 / $598.04 / $854.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.99 / $931.24 / $1,303.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.25 / $587.10 / $1,191.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.25 / $916.30 / $1,168.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.88 / $931.24 / $1,303.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.04 / $906.50 / $1,168.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.44 / $837.27 / $1,052.57