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Utah rates for HCPCS 69220

Debridement, mastoidectomy cavity, simple (eg, routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $3,388.44 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $81.28 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$512.86 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $346.74 / $758.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$446.68 / $524.81 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $190.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $109.65 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $87.10 / $158.49