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Missouri rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.90 / $994.21 / $1,202.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,257.00 / $9,640.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.48 / $1,346.00 / $2,071.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,652.00 / $5,249.00 / $6,727.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.54 / $1,633.16 / $2,734.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.19 / $2,061.67 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.90 / $1,777.29 / $8,291.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,516.00 / $4,451.97 / $7,497.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.32 / $1,486.34 / $2,357.62