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New Hampshire rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,048.19 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.08 / $1,283.10 / $4,048.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.47 / $1,948.83 / $2,848.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.82 / $2,364.13 / $3,381.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.47 / $2,446.96 / $4,063.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.11 / $2,187.30 / $3,366.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.40 / $958.54 / $1,219.96