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North Carolina rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,168.69 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,754.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,511.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $33,884.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $9,332.54