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Missouri 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
$1,185.50 / $4,858.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.85 / $926.59 / $1,982.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.00 / $1,093.48 / $1,622.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.27 / $1,285.47 / $2,185.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.45 / $1,650.38 / $18,642.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.89 / $1,417.00 / $7,712.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.27 / $1,136.97 / $1,866.23