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Virginia 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
$1,437.75 / $5,040.00 / $10,637.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.49 / $1,229.39 / $1,516.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.80 / $1,453.37 / $2,068.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.03 / $1,419.83 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00