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Pennsylvania rates for HCPCS 69636

Tympp Antrt/Mastoid W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.00 / $5,254.00 / $10,398.00
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
$20,824.13 / $20,824.13 / $20,824.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,511.00 / $11,083.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.22 / $1,380.22 / $1,442.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00