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Pennsylvania rates for HCPCS 69642

Tmpp Mastoidectomy W/Ossicular Chain Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.20 / $6,012.00 / $12,751.66
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
$2,888.89 / $11,630.66 / $25,074.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.20 / $6,193.00 / $12,474.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.79 / $1,314.79 / $1,570.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00