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Utah rates for HCPCS 21295

Reduction Masseter Muscle & Bone Extraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.81 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.38 / $247.81 / $1,004.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.87 / $262.99 / $428.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $130.56 / $187.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.52 / $309.62 / $463.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $189.76 / $296.44