go back

Louisiana rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,758.00 / $5,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.59 / $1,307.61 / $1,601.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,674.20 / $11,969.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.47 / $1,293.45 / $1,855.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,652.78 / $5,652.78 / $5,652.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.63 / $1,308.19 / $2,038.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.16 / $1,348.34 / $2,241.96