go back

Massachusetts rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.08 / $1,036.83 / $2,620.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $6,115.68 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.10 / $2,161.73 / $8,240.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,155.48 / $2,155.48 / $2,155.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.82 / $2,369.73 / $4,304.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.32 / $1,909.00 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.34 / $1,602.71 / $2,865.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.38 / $2,721.12 / $3,626.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.35 / $2,426.05 / $8,240.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.35 / $1,768.85 / $3,838.75