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Washington rates for HCPCS 69633

Tympanoplasty W/O Mastoidec 1st/Revj Prosth Torp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.45 / $12,619.36 / $28,169.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,866.94 / $16,595.73 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.74 / $4,147.74 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.80 / $2,277.91 / $11,234.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.00 / $1,984.54 / $2,138.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.67 / $1,451.89 / $2,513.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $3,509.00 / $17,644.00