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Ohio rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.41 / $8,037.00 / $11,754.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.16 / $1,025.16 / $2,685.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $1,322.57 / $2,254.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.58 / $1,236.70 / $1,932.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.64 / $1,195.72 / $2,009.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.37 / $1,442.81 / $2,205.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.58 / $1,533.63 / $2,187.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $901.20 / $1,460.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,879.00 / $5,726.00 / $9,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.81 / $1,391.28 / $2,278.54