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Pennsylvania rates for HCPCS 69633

Tympanoplasty W/O Mastoidec 1st/Revj Prosth Torp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.77 / $4,761.00 / $10,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,630.58 / $19,124.82 / $40,170.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.78 / $5,350.00 / $10,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.71 / $1,031.71 / $1,153.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00