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Pennsylvania rates for HCPCS 69641

Tmpp Mastoidectomy W/O Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.45 / $5,254.00 / $15,452.00
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
$3,974.01 / $13,937.21 / $27,398.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,958.00 / $12,474.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.77 / $1,024.77 / $1,203.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00