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Indiana rates for HCPCS 69222

Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $346.74 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $398.11
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$331.13 / $331.13 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$173.78 / $263.03 / $407.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $134.90 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $218.78 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $316.23