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Wisconsin rates for HCPCS 69636

Tympp Antrt/Mastoid W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.67 / $2,891.74 / $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
$3,733.34 / $4,362.70 / $7,036.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.67 / $1,964.11 / $4,865.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.38 / $4,865.99 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.67 / $1,964.11 / $4,865.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,748.85 / $4,229.00 / $4,999.95
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