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Iowa rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,960.00 / $11,611.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.64 / $1,822.91 / $1,822.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.29 / $2,750.31 / $3,145.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.83 / $1,786.33 / $2,978.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.91 / $3,018.09 / $14,396.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.44 / $2,534.30 / $8,291.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.00 / $3,308.26 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.00 / $2,424.29 / $3,308.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $2,070.69 / $2,909.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.54 / $2,157.29 / $3,409.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,100.00 / $2,470.60