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South Carolina rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.24 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.51 / $1,228.24 / $1,757.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.29 / $1,644.00 / $2,890.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.16 / $1,491.45 / $2,865.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.70 / $1,379.00 / $2,418.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.67 / $880.47 / $1,576.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.42 / $1,464.51 / $2,724.57