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Kansas rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.90 / $984.90 / $1,637.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $3,278.47 / $3,451.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.69 / $1,899.64 / $1,899.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,619.00 / $4,619.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.93 / $1,694.31 / $2,225.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.97 / $1,838.00 / $12,199.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.73 / $1,481.16 / $8,291.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.00 / $4,643.00 / $11,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.34 / $1,304.84 / $2,091.84