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Pennsylvania rates for HCPCS 69220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $472.36 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $82.82 / $232.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.37 / $303.54 / $342.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.40 / $1,359.00 / $5,044.89
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $124.02 / $201.07
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$116.58 / $186.04 / $301.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $96.71 / $198.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $124.23 / $125.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.93 / $894.52 / $1,059.93
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$378.41 / $378.41 / $1,131.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.96 / $1,544.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.35 / $100.20 / $245.97
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$118.37 / $303.54 / $342.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $100.70 / $327.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $98.71 / $228.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.15 / $76.06 / $131.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.15 / $74.45 / $85.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $557.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.16 / $110.06 / $165.50