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Idaho rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.13 / $4,333.82 / $10,284.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.36 / $1,334.25 / $1,597.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.67 / $1,526.85 / $1,710.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.31 / $1,559.10 / $1,732.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.75 / $1,440.59 / $1,722.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,225.28 / $1,541.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.42 / $1,375.42 / $1,455.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.49 / $1,277.50 / $1,814.91