go back

Kentucky 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
$874.32 / $1,769.95 / $10,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.00 / $4,334.00 / $11,433.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.64 / $1,324.68 / $1,528.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.55 / $1,184.44 / $1,184.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00