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Illinois rates for HCPCS 69501

Transmastoid Antrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,148.00 / $8,806.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,161.60 / $8,835.07 / $15,945.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $1,383.00 / $1,434.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.01 / $1,171.26 / $3,096.79
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,978.00 / $12,241.00