go back

Utah rates for HCPCS 69436

Tympanostomy (requiring insertion of ventilating tube), general anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,168.69 / $9,772.37
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,698.24 / $3,235.94 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$426.58 / $537.03 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $371.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $5,888.44
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,388.44 / $3,981.07 / $8,912.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $295.12 / $380.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $323.59