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Oklahoma 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
$1,238.53 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.86 / $859.37 / $1,222.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,389.41 / $16,531.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.15 / $1,071.93 / $1,176.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.27 / $1,137.67 / $1,344.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.37 / $1,481.00 / $9,412.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.58 / $1,120.68 / $7,712.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.39 / $961.86 / $1,385.40