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North Carolina 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
$1,016.48 / $6,737.55 / $12,378.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.36 / $877.46 / $2,493.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.00 / $1,518.00 / $1,518.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.58 / $1,578.94 / $2,424.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.08 / $1,375.71 / $2,282.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.46 / $1,293.21 / $2,268.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.93 / $1,087.93 / $2,184.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,196.00 / $2,349.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.93 / $1,165.34 / $2,422.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,882.43 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,712.32 / $7,712.32 / $7,712.32