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Maine rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.06 / $1,072.06 / $1,283.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.47 / $1,476.87 / $2,133.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.98 / $1,584.81 / $2,452.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.47 / $1,588.61 / $2,437.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.06 / $1,072.06 / $1,283.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.82 / $1,588.61 / $2,243.98