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North Dakota rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,089.30 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,912.51 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $2,691.53