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Wisconsin rates for HCPCS 69502

Mastoidectomy Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.72 / $1,928.63 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,483.48 / $2,902.15 / $4,681.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.72 / $1,292.93 / $1,842.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.89 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.72 / $1,292.93 / $1,842.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.15 / $2,841.47 / $3,347.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00