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Illinois rates for HCPCS 69222

Debridement Mastoidectomy Cavity Cmplx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.56 / $1,278.00 / $5,389.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,596.50 / $2,596.50 / $2,596.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $191.58 / $353.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.31 / $309.31 / $309.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.80 / $1,300.06 / $3,024.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.81 / $245.06 / $369.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.35 / $236.40 / $382.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.18 / $301.41 / $595.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.29 / $167.90 / $284.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $328.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.36 / $288.39 / $456.10