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Alaska rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,203.65 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,362.95 / $5,362.95 / $6,712.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,593.90 / $3,593.90 / $3,593.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.61 / $5,362.95 / $7,669.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,693.65 / $6,995.10 / $8,770.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,163.75 / $4,829.95 / $6,905.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.61 / $5,362.95 / $7,669.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.85 / $4,735.50 / $7,060.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,856.58 / $2,875.12 / $4,337.42