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See a sample rate comparisonCPT 69930 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Cochlear Devic Implnt W//W/O Mastoidect, Cochlear Device Implantation With Or Without Mastoidectomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69930 |
| Medicaid Fee Schedule | View Medicaid rates for 69930 |
National average reimbursement for CPT 69930 by major payers:
$1,622.06
$1,597.64
$1,767.27
$1,996.87
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CPT 69930
5 of 25 sample ratesHigher to lower in this preview
Providence Health & Services Oregon, Providence Medical Group
$3,681.75Published rateFariha Farid
The Polyclinic, PLLC
$3,276.87Published rateSteven Dawson
Proliance Surgeons, Inc., P.S.
$2,974.59Published rateIdeal Option, PLLC
$1,945.98Published rateAmerican Oncology Partners, P.A.
$1,549.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 69930 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69930 code is part of the Surgery services used for Surgical Procedures on the Auditory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 69930 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69930 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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