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Delaware rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.16 / $1,210.76 / $1,210.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.23 / $1,408.36 / $2,016.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.48 / $1,271.30 / $2,499.84