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Utah rates for HCPCS 69540

Excision aural polyp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $5,888.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $489.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $446.68
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
$125.89 / $204.17 / $363.08