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Wisconsin rates for HCPCS 69633

Tympanoplasty W/O Mastoidec 1st/Revj Prosth Torp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.47 / $2,149.42 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.46 / $3,253.86 / $5,248.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.47 / $1,406.17 / $2,276.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.83 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.47 / $1,460.94 / $2,276.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.75 / $3,160.63 / $3,730.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00