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Pennsylvania rates for HCPCS 69505

Mastoidectomy Modified Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.41 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.45 / $1,185.51 / $1,557.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.49 / $1,652.44 / $2,226.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.11 / $1,535.15 / $2,523.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.92 / $1,920.95 / $1,949.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,306.10 / $13,306.10 / $13,306.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.41 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.45 / $1,269.67 / $6,362.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,204.80 / $3,266.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.30 / $1,577.41 / $2,543.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.01 / $1,204.01 / $1,220.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.67 / $1,204.01 / $1,286.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.33 / $1,477.39 / $2,346.76