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West 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
$183.01 / $290.30 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.01 / $210.17 / $279.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.99 / $224.82 / $244.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.72 / $217.73 / $217.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.06 / $225.06 / $225.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.12 / $240.66 / $512.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $205.38 / $290.30