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North Dakota 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
$880.03 / $1,652.25 / $1,652.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $890.09 / $1,999.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.64 / $1,894.65 / $2,257.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.58 / $2,121.42 / $2,739.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.03 / $1,496.05 / $8,263.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.49 / $1,658.02 / $2,292.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.49 / $1,765.96 / $2,292.91