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Maryland rates for HCPCS 69645

Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,082.60 / $5,082.60 / $5,082.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.33 / $1,983.16 / $3,424.84