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Utah rates for HCPCS 21296

Reduction Masseter Muscle & Bone Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.48 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.66 / $562.48 / $2,153.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.25 / $589.66 / $885.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $241.95 / $401.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.85 / $699.41 / $1,037.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.94 / $429.57 / $684.99