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Indiana rates for HCPCS 69632

Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.27 / $4,846.00 / $21,595.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.71 / $1,457.94 / $2,186.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00