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New York 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
$1,479.11 / $5,248.07 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $3,630.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $3,311.31