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New Hampshire rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,590.02 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.02 / $1,458.61 / $4,590.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.83 / $2,254.61 / $3,297.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.98 / $2,741.07 / $3,907.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.25 / $2,833.36 / $4,704.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.37 / $2,202.87 / $3,830.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.87 / $1,094.35 / $1,392.82