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Louisiana 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
$841.00 / $2,418.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,681.72 / $8,437.98 / $11,892.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,530.40 / $8,530.40 / $8,530.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00