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Pennsylvania rates for HCPCS 69433

Tympanostomy Local/Topical Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.46 / $2,747.00 / $7,197.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,114.84 / $2,326.69 / $4,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.02 / $197.56 / $452.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$296.33 / $543.51 / $1,410.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,838.15 / $6,846.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.89 / $271.45 / $368.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$293.83 / $407.20 / $553.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $211.18 / $364.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.47 / $315.01 / $322.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.17 / $1,362.61 / $2,608.92
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,097.44 / $1,966.37 / $3,423.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.00 / $3,623.00 / $7,799.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,512.70 / $2,326.69 / $4,589.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $228.99 / $483.74
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$325.02 / $543.51 / $1,342.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $173.30 / $541.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.61 / $215.73 / $372.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $162.50 / $245.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.81 / $193.27 / $211.75
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
$162.35 / $236.84 / $387.89