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Montana 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
$4,141.80 / $4,141.80 / $4,141.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.63 / $1,714.63 / $1,714.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.09 / $1,839.50 / $2,014.51