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Wisconsin rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.74 / $2,729.86 / $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
$3,525.18 / $4,119.45 / $6,644.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.74 / $1,799.38 / $2,747.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.60 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.74 / $1,848.64 / $2,747.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.94 / $4,017.81 / $4,732.75
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