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Tennessee 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
$982.90 / $3,008.15 / $8,904.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.71 / $1,055.08 / $2,397.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.27 / $1,105.94 / $1,826.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.34 / $1,217.85 / $1,821.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,882.43 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,712.32 / $7,712.32 / $7,712.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.40 / $1,225.06 / $1,979.46