go back

Iowa 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
$1,445.44 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,570.88 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $2,398.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $1,819.70 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,715.19 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $2,511.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,995.26