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Tennessee 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
$575.00 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.38 / $420.95 / $669.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,500.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.77 / $570.41 / $873.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.29 / $560.00 / $842.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.62 / $7,909.30 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,589.56 / $6,589.56 / $6,589.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.73 / $477.60 / $848.84