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Montana rates for HCPCS 69436

Tympanostomy (requiring insertion of ventilating tube), general anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,388.44 / $5,370.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$758.58 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $186.21 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $630.96 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $269.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $281.84 / $323.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $229.09 / $288.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $165.96 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $389.05