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Maryland rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.50 / $1,229.34 / $5,258.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.46 / $1,233.41 / $1,820.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.30 / $1,478.53 / $2,891.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.26 / $1,529.85 / $2,556.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.89 / $1,257.01 / $2,217.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.42 / $1,322.80 / $1,635.00