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Virginia 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
$1,749.00 / $5,636.00 / $11,025.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.30 / $1,196.76 / $1,476.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.24 / $1,407.56 / $1,984.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.19 / $1,374.71 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00