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Maryland rates for HCPCS 69633

Tympanoplasty W/O Mastoidec 1st/Revj Prosth Torp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.38 / $10,431.00 / $14,031.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.24 / $1,451.35 / $2,434.00