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Texas rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.54 / $3,730.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,121.85 / $7,421.31 / $14,454.58
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.01 / $5,577.00 / $12,453.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.95 / $6,309.68 / $6,309.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.97 / $1,741.51 / $2,909.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.06 / $1,760.66 / $3,328.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00