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Virginia rates for HCPCS 69602

Revision mastoidectomy; resulting in modified radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.32 / $6,146.00 / $14,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.48 / $1,211.32 / $1,388.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.56 / $1,291.01 / $1,770.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.00 / $1,739.95 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.98 / $1,431.56 / $2,658.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.65 / $1,236.78 / $1,525.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.95 / $1,455.57 / $2,110.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.00 / $1,534.00 / $2,565.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.66 / $1,431.69 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.66 / $1,431.69 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.59 / $1,507.23 / $2,380.31