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Louisiana rates for HCPCS 69645

Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.00 / $2,756.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,681.72 / $8,553.98 / $11,892.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $6,169.82 / $12,973.86