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Michigan 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
$247.00 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $247.00 / $256.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.56 / $1,321.08 / $1,789.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $225.96 / $474.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $220.47 / $413.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.69 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.69 / $212.27 / $304.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $153.09 / $236.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.87 / $219.45 / $300.27