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Kansas 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
$1,700.00 / $6,404.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $787.85 / $1,310.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,534.60 / $5,439.75 / $6,247.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.09 / $1,538.94 / $1,538.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.29 / $1,269.00 / $1,769.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.28 / $1,487.70 / $12,199.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.49 / $1,132.35 / $7,712.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.49 / $1,062.00 / $1,556.49