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Missouri rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.34 / $1,143.54 / $1,387.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.52 / $1,495.41 / $2,326.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.67 / $1,852.66 / $3,168.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.54 / $2,229.90 / $18,642.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.95 / $2,008.18 / $9,546.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.32 / $1,620.96 / $2,879.96