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South Carolina rates for HCPCS 69501

Transmastoid Antrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.33 / $9,062.00 / $17,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,939.32 / $9,602.04 / $16,900.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.91 / $893.65 / $1,572.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00