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Alaska rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,647.05 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,105.19 / $6,105.19 / $7,499.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,023.61 / $4,023.61 / $4,023.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.53 / $6,105.19 / $8,730.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.00 / $8,099.70 / $9,945.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,821.25 / $5,592.65 / $7,821.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.53 / $6,105.19 / $8,730.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.68 / $5,374.50 / $8,012.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,191.14 / $3,218.88 / $4,856.02