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Virginia rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.30 / $6,470.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.06 / $1,785.67 / $2,202.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.72 / $2,104.78 / $3,063.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.91 / $2,052.04 / $7,165.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00