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North Carolina 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
$1,245.00 / $3,424.76 / $12,914.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.42 / $1,334.00 / $2,602.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,790.72 / $16,547.20 / $26,542.00