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Ohio rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $8,912.51 / $12,302.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,365.16 / $16,982.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $707.95 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,606.93 / $10,964.78