go back

Louisiana 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
$239.88 / $1,513.56 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$660.69 / $660.69 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $275.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $562.34 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $331.13