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Idaho rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.18 / $1,650.74 / $1,997.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.82 / $1,913.10 / $2,135.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.32 / $1,931.03 / $2,221.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.81 / $1,820.13 / $2,154.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,733.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.08 / $1,716.08 / $1,820.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.34 / $1,673.22 / $2,281.30