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North Dakota rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.29 / $1,103.29 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.29 / $1,103.29 / $1,104.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.05 / $2,363.91 / $2,825.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.95 / $2,638.51 / $3,407.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.29 / $1,567.92 / $3,309.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.34 / $2,080.73 / $2,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.34 / $2,216.19 / $2,870.00