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Kentucky rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.93 / $1,394.46 / $13,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.36 / $1,688.81 / $1,948.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.53 / $1,503.96 / $1,503.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00