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Tennessee 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
$452.00 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.17 / $195.50 / $312.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,271.00 / $3,777.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.04 / $249.41 / $401.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.77 / $256.79 / $389.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.14 / $3,728.65 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,054.09 / $8,054.09 / $8,054.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.10 / $210.84 / $392.69