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California rates for HCPCS 69220

Debridement, mastoidectomy cavity, simple (eg, routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.31 / $7,108.00 / $20,135.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $120.17 / $362.28
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.37 / $207.36 / $342.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.86 / $72.86 / $72.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,769.00 / $11,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $127.67 / $238.36
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.81 / $118.32 / $154.88
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,588.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $128.18 / $254.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $115.65 / $260.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.07 / $64.48 / $105.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $84.71 / $150.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $354.00 / $360.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $436.43 / $675.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.12 / $89.18 / $164.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $119.16 / $227.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $165.24 / $260.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $65.06 / $106.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $1,533.00 / $7,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $114.75 / $321.45