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Pennsylvania rates for HCPCS 69637

Tmpp Antrt/Mastoidotomy Prosthesis Torp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $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
$12,495.40 / $12,495.40 / $18,170.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,526.00 / $11,043.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.99 / $1,373.99 / $1,447.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00