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Louisiana 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
$297.00 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.38 / $234.15 / $316.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.36 / $2,165.67 / $3,102.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.79 / $253.03 / $325.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $179.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.67 / $263.41 / $345.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $209.78 / $376.37