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Illinois 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
$741.31 / $1,995.26 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $676.08 / $4,265.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,630.78 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $831.76