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Arizona rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.33 / $1,121.60 / $5,828.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.16 / $968.21 / $1,210.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.58 / $1,305.96 / $2,392.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.07 / $1,475.53 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.67 / $1,248.78 / $8,291.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.72 / $1,197.01 / $2,149.17