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Utah rates for HCPCS 69450

Tympanolysis Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.52 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.52 / $617.52 / $982.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.99 / $789.89 / $1,172.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $350.25 / $522.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.92 / $934.19 / $1,013.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.19 / $622.40 / $1,110.96