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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
$4,393.00 / $5,549.00 / $10,532.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.20 / $1,592.97 / $2,697.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.12 / $2,908.63 / $14,396.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,103.08 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,523.00 / $11,869.99