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Texas rates for HCPCS 69220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $3,213.00 / $9,897.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $73.04 / $135.31
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.37 / $118.37 / $342.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.75 / $74.18 / $95.06
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.27 / $111.27 / $111.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $267.33 / $594.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.34 / $72.70 / $124.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.69 / $201.31 / $261.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.18 / $88.30 / $133.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $173.01 / $173.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.85 / $91.76 / $211.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $360.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $656.02 / $675.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $89.02 / $200.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $93.86 / $134.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.70 / $114.70 / $114.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $90.44 / $203.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $99.63 / $211.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $1,058.00 / $2,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.02 / $113.68 / $179.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $74.18 / $104.06