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North Carolina rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.50 / $1,933.00 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.50 / $1,098.50 / $1,978.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.48 / $1,915.84 / $2,732.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.31 / $1,785.55 / $2,846.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.92 / $1,394.20 / $2,754.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.20 / $1,394.20 / $2,743.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,663.00 / $2,909.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,504.51 / $12,081.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.68 / $1,481.16 / $3,029.35
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,115.68 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,240.67 / $8,240.67 / $9,319.35