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Virginia 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
$992.37 / $5,309.69 / $9,412.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.36 / $983.41 / $1,865.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.40 / $1,056.78 / $1,449.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.58 / $1,433.48 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.83 / $1,162.21 / $2,160.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.25 / $1,010.70 / $1,246.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.36 / $1,191.61 / $1,745.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.95 / $1,247.00 / $2,101.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.64 / $1,164.13 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.64 / $1,164.13 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.00 / $1,154.06 / $1,909.58