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Wyoming rates for HCPCS 69604

Revision mastoidectomy; resulting in tympanoplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.71 / $1,142.71 / $1,142.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.00 / $2,176.00 / $4,350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.37 / $1,889.96 / $2,576.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.71 / $2,759.76 / $4,436.51