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Wisconsin rates for HCPCS 69602

Revj Mastoidectomy Rsltg Modf Rad Mstdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.41 / $2,222.75 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.63 / $1,019.41 / $3,792.35
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
$1,045.46 / $2,835.35 / $6,070.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,871.87 / $3,356.01 / $5,413.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.95 / $3,148.96 / $4,526.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.41 / $1,463.64 / $2,123.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.68 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.24 / $2,601.28 / $6,917.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $692.55 / $2,220.22
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.41 / $1,505.09 / $2,123.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.35 / $3,271.06 / $3,853.12
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
$1,526.19 / $5,202.55 / $8,569.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.66 / $3,034.66 / $3,034.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,395.38 / $6,151.01 / $6,151.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.24 / $3,261.70 / $5,019.09