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Missouri rates for HCPCS 69220

Debridement, mastoidectomy cavity, simple (eg, routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.63 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $69.14 / $259.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$206.88 / $206.88 / $206.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.69 / $99.69 / $99.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.07 / $95.72 / $164.04
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.61 / $143.58 / $246.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.51 / $105.35 / $245.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.88 / $98.44 / $747.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.27 / $161.25 / $656.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.19 / $119.73 / $173.05