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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.35 / $251.90 / $396.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.18 / $789.18 / $791.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $284.55 / $333.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.68 / $332.15 / $490.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.91 / $352.26 / $462.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $313.77 / $349.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.94 / $3,749.50 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.48 / $400.57 / $462.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.19 / $283.39 / $398.85