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Montana rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.45 / $6,653.38 / $6,653.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,032.74 / $2,032.74 / $2,032.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.15 / $2,032.74 / $2,111.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.91 / $2,161.25 / $2,366.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.65 / $1,876.17 / $2,706.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.75 / $2,113.96 / $3,593.63