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New Mexico 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
$1,122.21 / $7,838.38 / $8,644.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $14,509.34 / $23,263.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.11 / $1,176.24 / $1,464.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00