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Idaho rates for HCPCS 69603

Revj Mastoidectomy Rsltg Rad Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.46 / $1,913.81 / $2,307.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.71 / $2,182.17 / $2,451.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.35 / $2,236.75 / $2,497.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.54 / $2,098.31 / $2,495.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,775.22 / $2,233.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.46 / $1,977.46 / $2,098.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.53 / $1,868.85 / $2,651.42