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Utah rates for HCPCS 69222

Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $251.19 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,949.84
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,884.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $398.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $501.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $416.87
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
$131.83 / $218.78 / $380.19