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Michigan 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
$1,337.64 / $5,757.00 / $18,970.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,141.48 / $8,336.26 / $11,356.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.24 / $5,757.00 / $18,970.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00