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Alaska rates for HCPCS 69602

Revision mastoidectomy; resulting in modified radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,132.33 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,243.55 / $5,243.55 / $6,558.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,512.20 / $3,512.20 / $3,512.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.73 / $5,243.55 / $7,498.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,635.43 / $6,843.90 / $8,575.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.75 / $4,725.55 / $6,754.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.73 / $5,243.55 / $7,498.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.13 / $4,633.50 / $6,901.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.72 / $2,809.76 / $4,238.82