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Hawaii rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.02 / $1,210.67 / $1,210.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.32 / $1,657.35 / $1,657.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.29 / $2,000.21 / $2,360.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.47 / $1,591.06 / $1,856.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.40 / $1,657.35 / $2,060.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.94 / $5,316.74 / $11,157.30