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Washington rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,953.24 / $7,920.26 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,866.94 / $16,595.73 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.74 / $4,147.74 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.04 / $3,386.08 / $11,234.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.41 / $2,937.28 / $3,168.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.71 / $2,161.15 / $2,513.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,478.00 / $5,267.50 / $16,315.00