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Delaware 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
$971.45 / $8,405.21 / $19,423.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $817.21 / $971.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.91 / $1,122.33 / $1,617.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,821.67 / $7,884.84 / $29,186.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.58 / $1,011.08 / $1,988.14