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Wisconsin rates for HCPCS 69645

Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.72 / $3,036.87 / $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
$3,908.16 / $4,566.99 / $7,366.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.72 / $1,962.41 / $2,901.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.04 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.72 / $1,962.41 / $2,901.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,889.90 / $4,446.00 / $5,256.51
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 / $11,733.00 / $15,126.00