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New York rates for HCPCS 69501

Transmastoid antrotomy (simple mastoidectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $5,248.07 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,168.69 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $758.58 / $2,398.83