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Montana rates for HCPCS 69602

Revision mastoidectomy; resulting in modified radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.50 / $5,704.34 / $5,704.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.25 / $1,727.25 / $1,727.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.33 / $1,727.25 / $1,823.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.21 / $1,865.50 / $2,036.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.90 / $1,584.02 / $2,284.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.70 / $1,836.79 / $3,043.25