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Maine rates for HCPCS 69436

Tympanostomy (requiring insertion of ventilating tube), general anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $3,090.30 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$588.84 / $3,467.37 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $457.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.23 / $338.84 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $229.09 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$199.53 / $338.84 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $323.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $3,090.30 / $7,943.28
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.91 / $3,388.44 / $7,943.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.23 / $338.84 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $354.81