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Pennsylvania rates for HCPCS 69501

Transmastoid Antrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,254.00 / $10,527.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,511.00 / $11,182.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.84 / $698.84 / $839.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00