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Texas rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.00 / $3,849.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,121.85 / $7,421.31 / $14,454.58
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.40 / $5,397.10 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.77 / $5,161.27 / $5,161.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.29 / $2,018.42 / $3,369.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.29 / $2,028.08 / $3,869.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,918.00 / $13,134.00