Removal of impacted earwax, one ear

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

REMOVE IMPACTED EAR WAX W/IRRI

Payers reporting CPT 69209

Payer pricing summary

Low

$23

Average

$330

Median

$143

High

$3.5k

Payer rate distribution

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#
1	Wellmark case rate · outpatient · +27 other terms	18	$56	$217	$1.2k	538%	239–392	$9 – $8.8k
2	UnitedHealthcare fee schedule · outpatient · +41 other terms	547	$71	$384	$990	258%	202–346	$1 – $10.5k
3	Kaiser fee schedule · outpatient · +27 other terms	106	$78	$157	$505	322%	104	$1 – $4.2k
4	Humana fee schedule · outpatient · +35 other terms	381	$61	$151	$629	415%	68–122	$1 – $8.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	461	$89	$475	$1.4k	291%	5–50	$0 – $14.4k
6	Molina fee schedule · outpatient · +33 other terms	202	$63	$66	$43	66%	5–50	$1 – $314
7	Anthem fee schedule · outpatient · +34 other terms	155	$59	$112	$525	471%	5–50	$5 – $6.3k
8	Premera professional · fee schedule · outpatient · +19 other terms	14	$16	$59	$147	250%	4–40	$9 – $559
9	Bcbs Al facility · other · outpatient · +4 other terms	6	$150	$110	$56	51%	4–40	$44 – $192
10	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$136	$136	—	—	3–30	$136 – $136
11	Aetna fee schedule · outpatient · +40 other terms	544	$68	$578	$1.7k	294%	1–10	$1 – $21.3k
12	First Health fee schedule · outpatient · +22 other terms	41	$75	$781	$2.0k	260%	1–10	$15 – $7.2k
13	Cigna case rate · outpatient · +37 other terms	290	$944	$4.4k	$7.0k	162%	—	$0 – $40.7k
14	WellCare fee schedule · outpatient · +29 other terms	178	$62	$108	$429	397%	—	$2 – $4.2k
15	Oscar case rate · outpatient · +23 other terms	129	$2.5k	$2.5k	$892	35%	—	$93 – $7.5k
16	Ambetter facility · fee schedule · outpatient · +22 other terms	95	$100	$303	$1.1k	379%	—	$17 – $8.1k
17	Devoted facility · fee schedule · outpatient · +20 other terms	93	$56	$153	$638	417%	—	$6 – $4.9k
18	MultiPlan fee schedule · outpatient · +22 other terms	93	$99	$105	$41	39%	—	$11 – $290
19	Tricare facility · fee schedule · outpatient · +22 other terms	85	$59	$404	$1.3k	327%	—	$6 – $6.1k
20	Optum fee schedule · outpatient · +25 other terms	76	$57	$72	$69	97%	—	$12 – $542
21	Highmark facility · fee schedule · outpatient · +22 other terms	67	$104	$143	$382	266%	—	$7 – $3.4k
22	Caresource fee schedule · outpatient · +23 other terms	63	$90	$208	$318	153%	—	$1 – $4.2k
23	Medicare facility · fee schedule · outpatient · +23 other terms	49	$61	$418	$2.0k	490%	—	$13 – $22k
24	Aetna Better Health fee schedule · outpatient · +20 other terms	45	$39	$58	$79	136%	—	$9 – $395
25	Medica fee schedule · outpatient · +25 other terms	42	$60	$88	$107	122%	—	$11 – $731

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