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Pennsylvania rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $6,012.00 / $17,700.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $903.99 / $1,904.36
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
$871.15 / $1,375.18 / $1,805.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.23 / $1,109.49 / $1,819.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.19 / $1,385.41 / $1,402.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,471.91 / $12,495.40 / $26,515.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.97 / $5,724.00 / $14,043.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.99 / $1,139.02 / $2,610.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $950.70 / $2,349.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.08 / $1,148.45 / $1,838.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.56 / $873.56 / $941.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.10 / $873.56 / $941.40
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
$741.57 / $1,082.74 / $1,704.34