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Iowa rates for HCPCS 69633

Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,128.61 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,570.88 / $16,218.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,715.19 / $15,488.17