go back

Utah rates for HCPCS 69603

Revj Mastoidectomy Rsltg Rad Mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.92 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.92 / $1,446.92 / $2,843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.24 / $1,837.08 / $2,729.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $829.61 / $1,176.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.29 / $2,167.78 / $2,408.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.39 / $1,685.83 / $2,579.76