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Connecticut rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.62 / $1,767.37 / $2,850.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.88 / $2,337.46 / $2,773.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.54 / $1,857.52 / $3,005.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.11 / $1,847.64 / $1,847.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.49 / $1,660.65 / $3,170.71