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Pennsylvania rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.70 / $4,223.00 / $8,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.06 / $232.57 / $985.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $1,278.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.62 / $266.91 / $371.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$291.93 / $409.57 / $556.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.51 / $257.42 / $915.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.26 / $353.19 / $360.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.04 / $6,649.71 / $8,312.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,342.00 / $9,534.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $260.33 / $1,100.90
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$474.95 / $474.95 / $1,278.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $777.10 / $1,035.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $264.06 / $915.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.71 / $222.25 / $784.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.71 / $218.11 / $273.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.03 / $296.23 / $790.04