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Massachusetts rates for HCPCS 69220

Debridement Mastoidectomy Cavity Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $587.88 / $3,693.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$148.66 / $148.66 / $148.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $120.77 / $238.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$342.05 / $400.00 / $562.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.21 / $395.40 / $2,733.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $145.94 / $675.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $78.38 / $138.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.19 / $90.22 / $155.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.23 / $154.37 / $281.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.98 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $115.12 / $205.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $141.08 / $215.92
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.80 / $136.80 / $136.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.72 / $151.30 / $151.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,078.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.91 / $221.60 / $675.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $3,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $155.49 / $288.56