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New Hampshire rates for HCPCS 69631

Tympanoplasty W/O Mastoidect W/O Ossicle Recnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,764.10 / $15,818.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $1,015.61 / $1,923.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $1,557.42 / $2,276.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.45 / $1,900.53 / $2,716.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.74 / $1,955.51 / $3,247.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.33 / $1,480.67 / $2,681.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.34 / $835.61 / $1,318.87