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Pennsylvania rates for HCPCS 69620

Myringoplasty (surgery confined to drumhead and donor area)

Facilitymedian $3,981 · 10th–90th $955–$8,5110%10%10th90th$3,981Professionalmedian $676 · 10th–90th $447–$1,9050%10%20%10th90th$676$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,073.80 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$891.25 / $2,570.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $2,089.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,606.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,258.93
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $891.25 / $1,318.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $8,912.51 / $14,454.40
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,570.40 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $1,548.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $478.63 / $724.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,174.90