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Pennsylvania rates for HCPCS 21296

Reduction Masseter Muscle & Bone Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.62 / $412.39 / $590.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.14 / $419.39 / $743.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.80 / $460.80 / $460.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.64 / $502.31 / $822.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.41 / $641.77 / $828.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.02 / $474.87 / $2,153.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.60 / $420.60 / $943.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.80 / $460.80 / $460.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.55 / $511.46 / $822.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.99 / $398.49 / $398.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.99 / $398.49 / $424.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.60 / $472.76 / $756.57