go back

Montana rates for HCPCS 21295

Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.35 / $274.27 / $1,004.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.01 / $316.01 / $316.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.76 / $311.27 / $316.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.40 / $195.50 / $316.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.12 / $310.04 / $407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $301.83 / $341.89