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New Mexico 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
$1,236.30 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $849.83 / $1,468.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $14,509.34 / $23,263.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.32 / $1,058.00 / $1,507.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.76 / $1,284.93 / $1,656.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $252.79 / $1,343.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.33 / $996.03 / $1,233.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.03 / $1,299.17 / $1,656.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.90 / $1,325.44 / $2,032.29