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Missouri 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
$381.06 / $2,507.00 / $6,962.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$892.16 / $2,530.50 / $4,676.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.31 / $340.79 / $900.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$637.74 / $1,395.45 / $1,539.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,257.00 / $9,640.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $407.23 / $632.51
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$459.57 / $610.84 / $948.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,652.00 / $5,249.00 / $6,727.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.85 / $469.94 / $757.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.31 / $497.85 / $2,845.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.52 / $757.72 / $2,859.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,959.00 / $5,829.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.96 / $508.64 / $804.83