go back

Wisconsin rates for HCPCS 69635

Tympp Antrt/Mastoid W/O Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.36 / $2,612.14 / $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
$3,372.89 / $3,941.49 / $6,357.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.36 / $1,789.25 / $4,847.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.36 / $4,847.14 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.36 / $1,874.99 / $4,847.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.90 / $3,846.00 / $4,547.13
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