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Washington rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,445.69 / $10,122.46 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,866.94 / $16,595.73 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.74 / $4,147.74 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.00 / $2,945.43 / $11,234.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.67 / $2,551.36 / $2,728.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.89 / $1,843.54 / $2,513.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $3,509.00 / $17,644.00