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California 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
$1,208.95 / $5,310.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.08 / $416.79 / $2,153.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $8,484.00 / $16,676.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.00 / $595.41 / $1,173.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,864.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.56 / $425.98 / $957.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $2,738.49 / $4,904.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.27 / $524.41 / $1,162.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.41 / $493.49 / $666.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.66 / $545.45 / $972.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.62 / $7,909.30 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,589.56 / $6,589.56 / $6,589.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.83 / $535.17 / $838.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.85 / $546.38 / $1,092.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.16 / $1,336.16 / $1,336.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.67 / $483.62 / $609.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.18 / $423.77 / $920.14