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Indiana rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.91 / $4,846.00 / $17,508.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $11,294.00 / $22,813.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.46 / $1,803.36 / $2,705.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00