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Wisconsin rates for HCPCS 69646

Tympanoplasty Mastoidectomy Rad/Compl W/Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.42 / $3,212.86 / $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
$4,146.05 / $4,844.99 / $7,814.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.42 / $2,087.05 / $3,070.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.34 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.42 / $2,087.05 / $3,070.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.95 / $4,703.00 / $5,560.36
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
$4,687.66 / $11,608.00 / $13,980.00