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Utah rates for HCPCS 69620

Myringoplasty (surgery confined to drumhead and donor area)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,548.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $7,943.28 / $18,197.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,513.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $1,698.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,230.27