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Texas rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.99 / $3,849.00 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.31 / $1,109.14 / $1,616.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,421.31 / $14,454.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.52 / $1,309.45 / $1,491.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.29 / $5,652.78 / $5,652.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.15 / $1,476.40 / $2,330.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,240.67 / $8,291.52 / $9,319.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.21 / $1,439.02 / $2,418.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.70 / $1,648.51 / $1,939.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.50 / $1,469.50 / $1,469.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.23 / $1,455.60 / $2,780.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.15 / $1,503.66 / $2,393.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.48 / $1,255.09 / $1,984.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.58 / $1,042.73 / $1,455.54