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Montana 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
$2,376.00 / $2,376.00 / $2,376.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,551.50 / $2,551.50 / $2,551.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.88 / $369.63 / $617.02
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,127.68 / $7,597.80 / $7,597.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.87 / $455.87 / $608.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.87 / $455.87 / $455.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.81 / $488.30 / $640.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.99 / $663.00 / $724.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.57 / $457.78 / $640.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.20 / $645.00 / $1,070.21