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Virginia 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
$210.17 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.26 / $210.12 / $260.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.68 / $236.19 / $390.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.78 / $229.15 / $910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $225.06 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.66 / $241.39 / $423.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.60 / $247.24 / $292.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.23 / $245.84 / $384.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $263.00 / $374.85
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.76 / $243.80 / $1,285.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.76 / $243.80 / $1,285.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $2,863.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.59 / $219.66 / $365.23