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South Carolina rates for HCPCS 69505

Mastoidectomy Modified Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.05 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.43 / $1,352.05 / $1,942.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,939.32 / $9,602.04 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.88 / $1,506.00 / $2,388.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.70 / $1,605.89 / $3,154.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.24 / $1,487.26 / $2,614.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.07 / $967.93 / $1,741.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.19 / $1,613.00 / $2,838.13