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Alaska rates for HCPCS 69631

Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,413.10 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,570.40 / $5,888.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $5,128.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,265.80 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $831.76 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $5,623.41