CPT 21295
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Revision of jaw muscle/bone
Low
$171
Average
$1.4k
Median
$1.3k
High
$4.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 5.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 469 | $1.6k | $2.1k | $2.4k | 114% | — | $35 – $43.5k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 431 | $1.7k | $2.2k | $1.9k | 88% | — | $79 – $21.3k |
| 3 | Humana fee schedule · outpatient · +6 other terms | 343 | $1.5k | $1.4k | $947 | 69% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 331 | $2.5k | $3.1k | $2.7k | 87% | — | $1 – $28.5k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 214 | $1.7k | $2.4k | $2.1k | 87% | — | $176 – $11.0k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 210 | $1.1k | $909 | $822 | 90% | — | $1 – $7.2k |
| 7 | WellCare fee schedule · outpatient · +5 other terms | 154 | $1.5k | $1.6k | $635 | 39% | — | $144 – $4.4k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 123 | $1.4k | $1.6k | $2.3k | 142% | — | $188 – $12.8k |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 94 | $1.9k | $2.5k | $1.9k | 78% | — | $176 – $10.9k |
| 10 | Ambetter fee schedule · outpatient · +4 other terms | 72 | $2.5k | $2.1k | $1.3k | 63% | — | $252 – $7.3k |
| 11 | Devoted fee schedule · outpatient · +4 other terms | 68 | $1.5k | $1.4k | $436 | 31% | — | $197 – $1.7k |
| 12 | Aetna Better Health fee schedule · outpatient · +5 other terms | 64 | $531 | $540 | $185 | 34% | — | $184 – $1.4k |
| 13 | Caresource fee schedule · outpatient · +4 other terms | 41 | $1.5k | $1.3k | $935 | 71% | — | $653 – $4.4k |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 40 | $2.8k | $2.2k | $1.9k | 87% | — | $1 – $8.4k |
| 15 | Optum fee schedule · outpatient · +4 other terms | 35 | $1.5k | $2.2k | $2.7k | 119% | — | $197 – $12.2k |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 33 | $2.0k | $1.9k | $940 | 49% | — | $421 – $5.6k |
| 17 | Clover fee schedule · outpatient · +3 other terms | 31 | $1.6k | $1.8k | $812 | 44% | — | $1.4k – $4.5k |
| 18 | MultiPlan fee schedule · outpatient · +4 other terms | 28 | $2.4k | $2.4k | $384 | 16% | — | $946 – $7.3k |
| 19 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 27 | $442 | $903 | $517 | 57% | — | $442 – $1.6k |
| 20 | Tricare fee schedule · outpatient · +4 other terms | 27 | $1.4k | $1.8k | $1.5k | 86% | — | $666 – $5.2k |
| 21 | First Health fee schedule · outpatient · +3 other terms | 26 | $1.6k | $2.0k | $2.3k | 116% | — | $191 – $7.2k |
| 22 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $2.3k | $2.2k | $531 | 24% | — | $812 – $3.6k |
| 23 | Medicare fee schedule · outpatient · +5 other terms | 24 | $197 | $662 | $1.1k | 163% | — | $176 – $4.3k |
| 24 | Medica fee schedule · outpatient · +4 other terms | 23 | $855 | $975 | $634 | 65% | — | $171 – $2.1k |
| 25 | Regence professional · fee schedule · outpatient · +2 other terms | 21 | $208 | $218 | $87 | 40% | — | $131 – $491 |
← Hospitals reporting CPT 21295 · Snapshot 20261113T090226Z-3ce6c0b8