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New Jersey 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
$809.29 / $6,438.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $891.10 / $1,551.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.59 / $1,343.74 / $2,907.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.20 / $1,402.73 / $1,646.02
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.88 / $25,525.77 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.69 / $1,013.02 / $1,843.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.91 / $978.97 / $1,923.72