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Indiana rates for HCPCS 69602

Revj Mastoidectomy Rsltg Modf Rad Mstdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.36 / $2,642.47 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.44 / $997.36 / $1,388.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.96 / $1,306.20 / $1,802.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.84 / $1,468.02 / $2,202.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.60 / $1,272.28 / $1,761.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.78 / $1,384.00 / $2,290.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.05 / $1,223.33 / $2,118.44