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Oregon rates for HCPCS 21295

Reduction Masseter Muscle & Bone Extraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.37 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.26 / $247.81 / $638.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $370.52 / $546.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.33 / $447.01 / $536.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.35 / $333.36 / $452.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.76 / $339.84 / $528.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.51 / $361.13 / $402.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.75 / $370.28 / $2,450.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.56 / $395.16 / $544.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.74 / $4,494.80 / $5,709.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.10 / $469.08 / $630.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.08 / $377.29 / $613.29