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Texas rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.00 / $3,849.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,421.31 / $14,503.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.86 / $619.86 / $619.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.93 / $917.73 / $1,575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.93 / $951.87 / $1,815.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00