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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
$939.27 / $5,700.00 / $12,466.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.99 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.07 / $800.07 / $10,297.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,200.00 / $1,944.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,636.76 / $9,636.76 / $9,636.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $800.07 / $10,297.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $2,407.02