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Wyoming 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
$3,548.75 / $3,548.75 / $3,548.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.00 / $2,906.00 / $3,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.81 / $1,517.31 / $2,045.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.30 / $2,175.42 / $3,523.07