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West 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
$9,400.46 / $28,429.99 / $41,316.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.99 / $992.38 / $1,885.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.39 / $1,003.03 / $1,092.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.39 / $971.39 / $971.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.51 / $1,002.51 / $1,002.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.31 / $1,214.24 / $4,379.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.61 / $22,807.26 / $29,004.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.70 / $1,090.17 / $1,678.30