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Pennsylvania rates for HCPCS 69602

Revision mastoidectomy; resulting in modified radical mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.04 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.62 / $1,059.71 / $1,388.56
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
$943.96 / $1,508.33 / $2,024.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.70 / $1,363.75 / $2,219.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.36 / $1,693.12 / $1,708.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,270.55 / $24,270.55 / $24,270.55
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
$977.62 / $1,137.47 / $5,704.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,259.80 / $2,850.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.97 / $1,395.23 / $2,283.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.64 / $1,069.64 / $1,253.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.03 / $1,069.64 / $1,253.49
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
$930.81 / $1,337.26 / $2,127.23