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Montana rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,198.38 / $32,198.38 / $32,198.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,486.51 / $2,486.51 / $2,486.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.50 / $2,639.00 / $2,883.57