go back

Maine rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,402.55 / $6,225.02 / $9,648.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $854.13 / $1,432.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $1,176.04 / $1,709.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.21 / $1,266.59 / $1,969.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.74 / $1,269.55 / $1,947.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,402.55 / $6,225.02 / $9,648.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $854.13 / $1,658.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.32 / $1,496.01 / $1,914.27