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South 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
$3,311.31 / $9,549.93 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,715.35 / $4,786.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $17,378.01 / $26,302.68