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Wisconsin rates for HCPCS 69511

Mastoidectomy Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.90 / $2,581.96 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.03 / $1,181.90 / $6,513.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.54 / $3,295.97 / $6,883.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.05 / $3,897.26 / $6,286.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.83 / $3,639.98 / $5,284.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.90 / $1,665.36 / $2,467.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.05 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.01 / $2,958.63 / $7,867.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $792.74 / $2,604.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.90 / $1,665.36 / $2,467.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.75 / $3,775.00 / $4,463.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.17 / $5,917.25 / $9,347.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,527.68 / $3,527.68 / $3,527.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,940.50 / $7,110.14 / $7,110.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.66 / $3,612.51 / $5,708.58