go back

Tennessee rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.05 / $1,351.51 / $1,425.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $6,434.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.08 / $1,382.57 / $2,279.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.22 / $1,528.37 / $2,343.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,115.68 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,240.67 / $8,291.52 / $9,319.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.61 / $1,534.72 / $2,382.29