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New York rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.39 / $5,796.00 / $12,466.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.44 / $1,354.01 / $2,554.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.20 / $1,154.52 / $2,769.65
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.29 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.29 / $1,591.29 / $1,591.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.82 / $1,250.82 / $10,297.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.47 / $1,939.46 / $4,026.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,887.61 / $3,165.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.32 / $1,495.65 / $2,238.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.83 / $1,187.99 / $2,041.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,166.62 / $6,166.62 / $6,166.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,250.82 / $10,297.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.48 / $1,904.70 / $4,026.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.20 / $1,357.05 / $3,097.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.99 / $1,187.99 / $3,692.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.83 / $1,291.14 / $2,629.73