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South Carolina rates for HCPCS 69645

Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.52 / $10,868.00 / $17,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,939.32 / $9,950.93 / $16,952.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.94 / $1,769.26 / $3,160.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $17,333.00 / $25,628.00