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Virginia rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.02 / $6,146.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.98 / $809.98 / $998.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.93 / $954.74 / $1,423.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.47 / $959.63 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00