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Maryland 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
$933.14 / $6,504.44 / $12,550.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.36 / $992.38 / $2,500.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.58 / $995.47 / $1,137.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.23 / $1,186.15 / $2,320.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.36 / $1,196.63 / $2,072.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.37 / $1,047.73 / $1,765.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.08 / $1,058.41 / $1,307.25