go back

Texas 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
$707.95 / $2,884.03 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$363.08 / $363.08 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $316.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $407.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,019.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $281.84 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $467.74 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $229.09 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $218.78 / $218.78