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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.87 / $182.87 / $1,004.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $303.63 / $404.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.07 / $986.07 / $986.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.00 / $440.33 / $579.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.87 / $320.02 / $3,044.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.97 / $380.34 / $546.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.00 / $532.03 / $1,249.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.00 / $406.76 / $561.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.97 / $412.25 / $495.32