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New York 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
$260.25 / $3,516.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $202.71 / $376.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.15 / $197.59 / $465.09
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.01 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.01 / $269.01 / $269.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $225.06 / $225.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.79 / $276.31 / $703.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.23 / $308.35 / $524.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.65 / $313.95 / $449.65
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.88 / $186.88 / $186.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $203.07 / $421.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.19 / $276.31 / $679.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.18 / $241.49 / $593.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.91 / $238.91 / $739.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.50 / $260.44 / $505.02