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Rhode Island rates for HCPCS 69220

Debridement Mastoidectomy Cavity Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $75.25 / $167.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $94.57 / $175.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.45 / $104.45 / $189.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.00 / $1,183.00 / $3,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $125.71 / $191.55