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California rates for HCPCS 69505

Mastoidectomy; modified radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $9,697.00 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.18 / $1,183.18 / $6,362.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,216.00 / $21,514.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.36 / $1,621.58 / $3,472.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,436.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.70 / $1,408.72 / $3,380.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.47 / $4,355.56 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.63 / $1,571.73 / $4,395.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.81 / $1,492.52 / $2,014.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.52 / $1,642.35 / $2,924.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,764.52 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,853.76 / $9,133.36 / $10,342.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.01 / $1,595.10 / $2,373.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.94 / $1,645.80 / $3,602.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,947.70 / $3,947.70 / $3,947.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.81 / $1,274.68 / $1,658.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $11,624.00 / $26,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.17 / $1,382.10 / $3,973.48