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Minnesota 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
$1,047.13 / $1,047.13 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $13,803.84 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,890.45 / $9,332.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,715.35 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,398.83 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08