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California rates for HCPCS 69222

Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,456.54 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $933.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $234.42 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$245.47 / $346.74 / $446.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,174.90 / $7,762.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $489.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $234.42 / $416.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,019.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $239.88 / $389.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $537.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $707.95
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,548.82 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $489.78