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Wisconsin rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,445.44 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $3,467.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $6,918.31 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $7,585.78 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,621.81 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10