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Virginia rates for HCPCS 69641

Tmpp Mastoidectomy W/O Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.22 / $5,980.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.89 / $1,184.27 / $1,460.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.60 / $1,394.98 / $2,008.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.42 / $1,370.01 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00