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Arizona rates for HCPCS 21296

Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.47 / $388.89 / $2,153.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.08 / $485.81 / $607.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.07 / $473.01 / $821.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.89 / $524.20 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.24 / $445.20 / $6,589.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.30 / $412.55 / $788.38