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Massachusetts 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
$1,498.96 / $2,747.00 / $6,075.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $5,790.72 / $16,742.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.98 / $1,909.00 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.45 / $813.45 / $5,737.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00