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New Mexico rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.01 / $7,838.38 / $8,942.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.99 / $1,186.01 / $2,914.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.22 / $1,613.59 / $2,095.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $317.45 / $1,692.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.33 / $1,267.33 / $1,588.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.33 / $1,653.04 / $2,095.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.68 / $1,673.22 / $2,557.17