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Oklahoma rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.06 / $1,078.74 / $1,078.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,309.98 / $14,714.99 / $23,429.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.60 / $1,439.94 / $1,738.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.06 / $1,777.34 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.64 / $1,405.63 / $8,291.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.45 / $1,285.44 / $1,743.21