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Louisiana rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,167.00 / $5,687.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.08 / $1,029.96 / $1,483.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.10 / $8,668.77 / $11,965.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.07 / $1,026.33 / $1,471.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.39 / $4,870.39 / $4,870.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.08 / $1,043.55 / $1,606.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.82 / $1,055.68 / $1,765.92