go back

Vermont rates for HCPCS 69604

Revj Mastoidectomy Rsltg Tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.56 / $1,233.56 / $5,828.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.45 / $1,666.37 / $4,054.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.73 / $1,666.37 / $4,054.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.21 / $1,560.36 / $4,976.55