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Pennsylvania rates for HCPCS 69610

Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.07 / $3,839.00 / $7,629.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,635.58 / $2,346.46 / $8,569.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.77 / $360.48 / $685.62
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$500.00 / $851.42 / $2,257.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.34 / $593.26 / $709.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$564.51 / $889.89 / $1,063.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.52 / $425.89 / $668.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.35 / $597.37 / $604.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,959.72 / $3,815.27 / $6,868.95
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,198.50 / $2,821.03 / $8,863.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $3,839.00 / $7,984.48
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,635.58 / $3,234.89 / $8,569.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.55 / $401.00 / $917.03
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$500.00 / $851.42 / $2,257.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $374.40 / $1,002.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.77 / $435.29 / $697.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.41 / $329.20 / $431.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.41 / $366.73 / $400.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.37 / $467.75 / $730.09