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Mississippi rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.22 / $2,271.52 / $2,271.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.00 / $2,009.00 / $2,009.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.06 / $3,018.06 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.61 / $1,525.89 / $2,129.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.42 / $1,400.92 / $2,805.73