go back

Montana rates for HCPCS 21296

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.35 / $585.02 / $2,153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.89 / $649.89 / $649.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.93 / $649.89 / $701.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.93 / $415.45 / $649.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.11 / $649.89 / $870.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.65 / $683.65 / $820.38