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Utah rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.83 / $6,190.00 / $10,789.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.84 / $1,218.05 / $1,988.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.26 / $1,286.20 / $1,911.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $570.20 / $812.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.11 / $1,524.81 / $1,653.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.97 / $1,010.40 / $1,861.57