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Massachusetts 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
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $188.98 / $312.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.54 / $2,411.51 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $351.21 / $8,054.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $318.98 / $569.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.58 / $443.96 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $283.02 / $390.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.81 / $491.26 / $648.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.14 / $3,592.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.55 / $361.45 / $8,054.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $306.68 / $617.20