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Indiana 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
$184.50 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.29 / $184.50 / $249.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,747.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $188.10 / $262.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.60 / $253.78 / $380.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $226.59 / $326.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $881.00 / $1,044.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.55 / $239.46 / $383.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $198.00 / $355.50