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Pennsylvania rates for HCPCS 69643

Tmpp Mastoidect Ntc/Rcnsted Wall W/O Ocr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.21 / $5,254.00 / $11,182.00
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
$7,315.49 / $12,495.40 / $20,043.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.21 / $5,742.00 / $11,366.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.47 / $1,203.47 / $1,456.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00