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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.40 / $379.40 / $2,153.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.82 / $623.57 / $831.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.67 / $2,091.67 / $2,091.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.64 / $913.69 / $1,224.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.40 / $663.95 / $5,402.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.56 / $821.24 / $1,254.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,012.27 / $2,571.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.21 / $898.11 / $1,224.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.56 / $847.97 / $1,069.52