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Vermont 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
Professional
Modifier
Low / Median / High Price
$455.92 / $926.59 / $4,657.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,341.06 / $9,341.06 / $11,602.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.36 / $1,335.56 / $3,260.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.21 / $1,335.56 / $3,260.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.16 / $1,244.28 / $4,001.54