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Nebraska rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.64 / $1,037.64 / $5,828.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,970.26 / $10,801.75 / $20,277.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.01 / $1,692.47 / $2,256.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.13 / $2,571.34 / $3,308.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.83 / $1,971.52 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.37 / $2,529.39 / $8,291.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.28 / $2,571.34 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.00 / $2,424.29 / $3,308.26
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
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.27 / $2,419.07 / $3,044.64