go back

South Carolina rates for HCPCS 21295

Reduction Masseter Muscle & Bone Extraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.03 / $4,375.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.68 / $197.55 / $251.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.67 / $1,831.01 / $3,049.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $183.15 / $265.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $580.00 / $1,074.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.55 / $257.41 / $515.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.23 / $247.00 / $409.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.05 / $829.05 / $829.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $160.15 / $274.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.04 / $204.83 / $518.79