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Utah rates for HCPCS G0268

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $62.56 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $42.48 / $62.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $46.42 / $46.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.89 / $58.17 / $71.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $54.12 / $78.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $60.00 / $90.28