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Arizona rates for HCPCS 69610

Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $3,477.00 / $7,467.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,457.29 / $7,457.29 / $7,457.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.31 / $369.63 / $880.05
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,127.68 / $2,257.21 / $2,348.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.61 / $283.24 / $375.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.85 / $409.43 / $705.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.29 / $399.83 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.36 / $483.75 / $2,859.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.91 / $408.49 / $775.92