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Pennsylvania rates for HCPCS 69601

Revision mastoidectomy; resulting in complete mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.48 / $994.41 / $1,301.24
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
$885.24 / $1,444.96 / $1,947.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.14 / $1,312.93 / $2,072.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.96 / $1,585.22 / $1,596.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.48 / $1,071.47 / $5,385.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,248.50 / $2,654.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.88 / $1,316.39 / $2,206.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.30 / $1,001.30 / $1,135.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.08 / $1,001.30 / $1,135.59
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
$911.81 / $1,282.67 / $2,013.59