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Wisconsin rates for HCPCS 69433

Tympanostomy Local/Topical Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $415.58 / $6,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.53 / $215.80 / $1,374.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,031.63 / $1,410.00 / $2,068.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.93 / $422.65 / $932.51
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$293.05 / $690.48 / $1,405.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.14 / $184.10 / $184.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.04 / $268.16 / $414.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.08 / $638.14 / $1,029.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.42 / $438.50 / $679.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $215.80 / $397.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.97 / $273.00 / $1,778.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.48 / $602.48 / $1,265.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.59 / $262.94 / $439.36
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $215.80 / $397.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.37 / $457.65 / $679.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.08 / $610.08 / $610.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.02 / $864.45 / $1,506.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.16 / $753.76 / $1,153.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.76 / $609.72 / $1,042.21