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Missouri 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
$1,000.00 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $316.23 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $354.81