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Indiana 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
$383.62 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.18 / $383.62 / $517.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,747.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.51 / $409.00 / $564.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.74 / $518.46 / $777.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.33 / $462.91 / $666.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.80 / $1,868.80 / $2,215.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.26 / $491.66 / $855.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.05 / $444.28 / $789.85