go back

Oklahoma 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
$1,346.00 / $4,728.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,309.98 / $14,714.99 / $23,429.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.80 / $1,674.83 / $10,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95