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Rhode Island rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.08 / $994.21 / $1,361.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.40 / $1,320.47 / $2,148.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $1,617.84 / $2,289.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.38 / $1,571.35 / $2,732.77