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Minnesota rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.01 / $1,104.01 / $7,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.01 / $1,104.01 / $1,822.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,075.10 / $10,188.53 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.88 / $2,911.64 / $4,089.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.88 / $3,885.50 / $9,347.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.75 / $3,740.29 / $5,267.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.33 / $3,552.28 / $7,359.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.16 / $3,308.20 / $4,384.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.24 / $2,245.91 / $10,533.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.01 / $2,870.00 / $6,428.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.34 / $2,807.99 / $4,425.18