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West Virginia rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $3,548.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $16,595.87