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Wisconsin rates for HCPCS 69641

Tmpp Mastoidectomy W/O Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.38 / $3,792.58 / $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
$2,752.02 / $3,215.95 / $5,187.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.38 / $1,401.23 / $2,433.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.35 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.38 / $1,444.75 / $2,433.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.65 / $3,132.55 / $3,689.96
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
$7,217.00 / $11,608.00 / $13,980.00